Company Name:__________________________________________________________________

Contact Name: ___________________________________________________________________

Address:_________________________________________________________________________

Phone Number: ___________________________________________________________________

Email: ___________________________________________________________________________

Brief description of items that will be available:___________________________________

_________________________________________________________________________________

Will you need electrical outlet? _

Registration is $30 per vendor and will include one ticket to the dinner. Additional tickets to the dinner for workers can be purchased for $15 per person. Please indicate below any additional tickets needed. We will be taking one vendor per company and will be filled on a first come first paid basis. Vendors are responsible for their own setup. Electricity is available if needed, but you must bring your own extension cords. Vendors may set up Thursday, December 4th from 6:00 p.m.-8:00 p.m. or Friday, December 5th from 12:00 p.m.-5:30 p.m. All vendors must be completely set up by 5:30 p.m. The event is from 6:00 p.m. – 10:00 p.m. Program and dinner will be from 6:00 p.m.-8:00 p.m., followed by shopping from 8:00-10:00 p.m. Vendor registration and payment deadline November 21, 2014.

Additional Dinner Tickets Needed:

We also respectfully request a signature item from your booth to be part of our door prizes. Donated Item: ------------------------------------------------------

Make checks payable to: Lakeside Baptist Church Dallas Mail checks and form to: LBC Dallas- 9150 Garland Rd. Dallas, TX 75218 (Attn: Home for the Holidays Vendor Registration) or drop off at LBC office. For questions please call or email: Jennifer Negron: lbcdallaswomen@gmail.com or 214-457-1863

Please note that an application doesn't guarantee a spot but we will accommodate as many as possible.

For Office Use Only: Date paid: _____Amount Paid:___________Form of Payment: Received by:________________________

VENDOR APPLICATION December 5, 2014