Michiana Veg Fest 2019 Exhibitor/Vendor Application Form Michiana Veg Fest 2019 April 14, 11am - 4pm Century Center, South Bend Indiana Your Name* First Last Name of your business/company/service*Your Title*Your email address* Your phone number*Your business/company/service website (if applicable) Your postal mailing address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please describe the product, service or information you wish to promote at Michiana Veg Fest*Which category are you applying for?* Non-profit organization ($50) Food business ($175) (+ $25 to be paid to St. Joseph County Health Services) Non-food services ($200) Please check your requirements below.* I require one 8 ft x 30 in. table I require two 8 ft x 30 in. tables I require an electrical outlet at my table(s) ($50 plus tax prior to April 12, 2019, or $75 plus tax beginning April 12, 2019, to be paid to Century Center) Other (please explain) Please explain your requirementsPlease check the box below to indicate your agreement with our policy.* I understand that Michiana Veg Fest is a VEGAN event and I agree to promote only vegan products and services. Any comments or questions?Thank you for submitting your application!CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.