Vendor Application for NBHAAD
Community Resource Fair
Registration Form
National Black HIV/AIDS Awareness Day
February 7, 2015
First CME Williamson Temple Church
6010 Smoke Ranch Rd
Las Vegas NV 89108
11 am – 5 pm
Vendor/Agency Application
Vendor/agency_________________________________________________________
Contact_______________________________________________________________
Address /Zip___________________________________________________________
Contact Name at Booth__________________________________________________
Phone_______________ Fax_________________ E-mail ______________________
Application should be returned ASAP Space is limited.
Notice: To vendor/agency please submit number of volunteers or assigned staff members ________
The following will be provided:
- Table (if needed): Y or N
Date_______________
- Important notice: Vendor/agency is responsible for bringing own banner/sign
- Set up time will start at 10:00 am on the day of event
- For any question please call Joshua Montgomery at 702-574-3762
- Please remit via email or fax to Joshua Montgomery to : jmontgomery@thecenterlv.org or fax 702.733-9075