Vendor Registration Form By submitting the form below I understand there are no refunds. I understand that my application is incomplete without payment. Please enable JavaScript in your browser to complete this form.Company / Business Name *Event to Register For *Prince William County Family Stop The Violence Community Cookout – (June 3, 2023 from 12:00pm-4:00pm at Merchant Park 3944 Cameron St, Dumfries, VA 22026) – The vendor slots for Insurance , Children’s Books, and Damsel In Defense are closed.Blended Family Conference – (September 16, 2023 from 9:00am-3:00pm NOVA Woodbridge location 2645 College Drive Woodbridge VA. 22191) – The vendor slots for Authors are closed. This Christmas Talent Competition – (December 9, 2023 – Location TBD)Address *City *State *MarylandVirginiaDistrict of ColumbiaZip Code *Point of Contact *Do you need electricity?NoYesWill you provide a raffle prize?YesNoPhone *Email *CommentSubmit Payments can be made via PayPal Please choose an option below and complete the payment. Company / Business Name: PowerMax Company Vendor Space Vendor Space-1 Table $80.00 USDVendor Space-1 Table with Advertisement $95.00 USDVendor Space- 2 Tables $100.00 USDVendor Space- 2 Tables with Advertisement $120.00 USD
