Vendor Type *

Choose one

Business

Non-Profit

Information

Individual

Primary Representative *

First Name

Last Name

Additional Representative

First Name

Last Name

Day Phone *

(###)

###

####

Cell Phone *

(###)

###

####

On-site Contact Name (if different)

First Name

Last Name

On-site Contact Day Phone

(###)

###

####

On-site Contact Cell Phone

(###)

###

####

Booth Type *

Choose one

Food - $250

Retail Sales - $200

Non-Profit (no sales permitted) - $150

Information (no sales permitted) - $150

Electricity Needs

Please complete the check one or more items based on your electrical needs, if applicable. A $50 fee is required for the 3rd and/or 4th 110V receptacles. 220V service is not available.

1st 110V Receptacle (no cost)

2nd 110V Receptacle (no cost)

3rd 110V Receptacle ($50 fee)

4th 110V Receptacle ($50 fee)

Water Needs

Water service is available for additional cost with the exception of smaller amounts needed for clean-up.

Less than a gallon before or during the event ($10 fee)

Less than a gallon for clean-up (no cost)

Continuous water hose connection ($100)

Payment of Fees *

Please add any additional electric and water service fees to your vendor booth fee and submit the total amount with your signed agreement.

Check - make payable to Powell Renaissance Holdings - SFF and mailed to 151 Vance Ave, Memphis, TN 38103.

Credit Card - complete the form below.

Name as it appears on card

First Name

Last Name

Type of Credit Card

Please check one

American Express

Mastercard

Visa