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