Vendor Application

Victorious
Western District Ladies Conference
February 15-17, 2018
Modesto Doubletree

Vendor Application Request

Applicant Name: ________________________________________________________________

Address: ______________________________________________________________________

City: _________________________________________State:_____________Zip:____________

Phone: ________________________________________________________________________

Email Address: _________________________________________________________________

Church Name: __________________________________________________________________

Pastor: ________________________________________________________________________

Items to be sold: ________________________________________________________________

Vendor reservations for the Ladies Conference are on a first come basis. Applications are not accepted before January 1, 2017.

The cost is $100.00 per 8’ x 8’ space including one table. Send the completed vendor application with your payment to the coordinator listed below

(Reservations cannot be made for vendor application forms received without payment enclosed).

Vendor fee is non-refundable. No food, drink or medications, no “rummage sale” type items, no jewelry or any controversial items are permissible for sale. Please do not sell merchandise 10 minutes prior to every service.  Please make check payable to: Western District Ladies Conference.

Please check one:

__I prefer space only
__I prefer space with table

Vendor Coordinator:
Regina Lopez
10515 Sunbird Way
Stockton, CA95219
rlopez@clcm.net

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Return Request

Approved: _______________________________________________________

Items: __________________________________________________________

Date: ___________________________________________________________

Paid: ___________________________________________________________