Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Business Name *UBI or EIN#Contact Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPlease describe the kinds of items you will be selling *Note: You will be limited to these types of items as we only allow one vendor per category.Type of Booth :Selling – $25.00Demonstrating – $25.00Give Aways – $25.00All booths are 10×10. If you would like to purchase two booth please email Vendors@HealWomenFest.comTotal$0.00Vendor Agreement Rules By participating in this event, you agree to the following terms and conditions: Compliance: You agree to adhere to all city, state, and federal regulations, as well as the specific rules of the event. Product Restrictions: No products deemed inappropriate or harmful by the event organizers will be permitted. We reserve the right to refuse applications if they violate any of these rules. Payment: No vendor space will be reserved without payment in full. Payments are non-refundable. Event Liability: You agree to hold Dr. Robyn White, DNP (DRW Health Solutions, LLC) and Pamoja Place harmless from any claims, damages, losses, or expenses arising from your participation in the event. DRW Health Solutions, LLC and Pamoja Place will not be responsible for any goods sold or on display. Event Conditions: The event will proceed rain or shine. No refunds will be provided due to weather conditions. Setup and Breakdown: Vendors must adhere to the event’s designated setup and breakdown times. Early teardown is not allowed. Insurance: Vendors must provide proof of insurance coverage with a minimum of $500,000. DRW Health Solutions, LLC will be the primary insured, and Pamoja Place will be the secondary insured. The insurance certificate must be active for the one-day event on Sunday, September 22, 2024. Vendors are responsible for their own insurance coverage, and the event organizers are not liable for any loss, damage, or injury. Licensing and Sales Tax: Vendors must be licensed and have an EIN or be legally authorized to sell goods. Vendors are responsible for including all sales tax to the state. Understanding and applying taxes is the sole responsibility of the vendor. Safety and Cleanliness: Vendors must maintain a safe and clean booth area. All displays and products must be securely positioned to prevent accidents. Conduct: All vendors must conduct themselves professionally and courteously. Harassment, discrimination, or any form of inappropriate behavior will not be tolerated and may result in immediate expulsion from the event without refund. By clicking “I Understand and Agree,” you acknowledge that you have read, understood, and agree to abide by all the rules and conditions listed above. Failure to comply with these rules may result in the termination of your participation without refund. I Understand and Agree.YesNo – Don’t click submit. Stop Here.Stripe Credit Card *Comment or MessageSubmit