University City Juneteenth Art Fest: Vendor Form Thank you for your interest in participating as a vendor in the University City Partners Inaugural Juneteenth Art Fest, scheduled for Wednesday, June 19th, 2024, from 4pm to 8pm, at the Shoppes at University Place, Lakefront. Sponsored by the Arts and Science Council, this event promises to be a vibrant celebration of African American culture and heritage. Please note that completion of this form does not guarantee a space at the event, as space is limited. However, it serves as the initial step in the sign-up process. Submission Deadline: June 10, 2024 For any inquiries or assistance throughout the application process, please do not hesitate to reach out to Janeva Tyree at *protected email*. Thank you for your interest in being part of the Juneteenth Art Fest!Email(Required) Business Name Type of Business Food Vendor Arts & Crafts Vendor Merchandaise Vendor Non-Profit Organization Other Vendor Packages Which vendor package would best meet the needs of your business or services? Artisan - $50 Standard - $100 Premium - $250 Contact Person(Required) First Last Contact Person Phone(Required)Contact Person Email(Required) Business Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website (if applicable) Social Media Handles (if applicable)Brief Description of Your Business (100 words or less)(Required)Please describe the products or services you plan to offer at Juneteenth Art FestWill your business require access to electricity? (Please note that limited access may be available and additional fees may apply.) Yes No Do you require any special accommodations or considerations for your booth setup? (e.g. space requirements, access to water, etc.) Yes No Please explain what additional special accommodations or considerations are require in detail.How did you hear about the Juneteenth Art Fest?(Required) University City Partners Arts and Science Council Social Media Word of Mouth Other Is there any other information you would like to provide or questions you have for the event planners?Insurance Waiver(Required)By signing this form, I hereby confirm that my business carries valid liability insurance and agrees to provide a certificate of insurance upon request from University City Partners and the Arts and Science Council. (Please type your full name): First Last
