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JUNETEENTH VENDOR APPLICATION

JUNETEENTH VENDOR APPLICATION

To complete your application online, please submit your details below then click the donate button to make your payment / donation.

Checkbox List 2*

Checkbox List*

Your Name*

Your Business Address*

City*

State*

Tel:*

Cell:*

Email Address*

Merchandise to be Sold:*

Vendor agrees to abide and comply with all guidelines and requirements of the Council of Imams and New Africa Business Association. Vendor is responsible for their own table and chair. No alcoholic beverages or pork products allowed. Please call 973-493-8912, 973-373-0344 or 973-855-9400 for more information.*

Please make payment to Council of Imams P.O. Box 8390, Newark, NJ 07108 or call 973-493-8912, 973-373-0344 or 973-855-9400.*

Electronic Signature: ___________________________ Date: _____________ *

Council of Imams is a 501(c)3 Non-Profit Organization. Contribution is Tax Deductible.

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