Faith Lift
28th Annual 2011
Western District Ladies Conference UPCI
Vendor Application Request
Applicant Name: _________________________________________________________
Address: _______________________________________________________________
City: ___________________________________ State: ___________ Zip: ____________
Phone: _________________________________________________________________
Email Address: ___________________________________________________________
Church Name: ___________________________________________________________
Pastor: ________________________________________________________________
Items to be Sold: __________________________________________________________
The cost is $50 per table/space. 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. The criteria for sale items are no food, drink or medications, no “rummage sale” type items, no jewelry or any controversial items. Please do not sell merchandise 10 minutes prior to every service. Please make check payable to: Western District Ladies Conference.
Vendor Coordinator:
Regina Lopez
8830 Terracorvo Circle
Stockton, CA 95212
rlopez@clcm.net
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Return Request
Approved: _______________________________________________
Items: __________________________________________________
Date: ___________________________________________________
Paid: ___________________________________________________