Marketplace Vendor Application

Date *
Date
Name *
Name
Address *
Address
Phone *
Phone
Which Type of Vendor Describes You? *
* Body/Energy Workers - Please bring promotional material, business cards and a sign up sheet to display on the body/energy worker table at the Marketplace
Check All That Apply:
Please Read and Check EACH of the Following: *

Questions or Requests?

Feel free to contact Daeryl Holzer (CW's Marketplace Midwife)

daeryl@soulshift.com

  432-295-0270