Vendor Registration Request

 

Thank you for your commitment to our community!

Connecting our community to resources through Live! Memphis wouldn't be possible without our amazing vendors!  Your donation of time, knowledge and educational takeaways is greatly needed and appreciated!

Live! Memphis was created to help close the equity gap, and provide resources for early detection, screening, treatment and support.  By participating as a Vendor, your company has a unique opportunity to reach women across the region, providing them with vital information and resources that could greatly impact their lives!  Complete the registration form on this page. 

 

Registration fees are as follows:

MBCC Members:

December 11, 2017 thru January 5, 2018                                   $100

January 6, 2018 thru January 24, 2018 (by 12 pm)                    $150

 

Non-MBCC Members:

December 11, 2017 thru January 5, 2018                                   $200

January 6, 2018 thru January 24, 2018 (by 12 pm)                    $250


pink bag.png

 
CTHA Logo 2017.png
 
Company Information
Address *
Address
Main Company Number *
Main Company Number
Event Booth Primary Contact Name *
Event Booth Primary Contact Name
Cell Phone Number *
Cell Phone Number
Vendor Volunteer Information
Giveaway Description
Please provide a description and quantity of all items you plan to give away. If you are not providing giveaways, please type "NA".
Attestations
As a vendor, I am responsible for providing my own equipment, ie: table cloths, decorations, giveaways. *
One 8' table and two chairs will be supplied for each company.
As a Vendor, I understand that all fees are non-refundable as they are used to promote Live! Memphis. *
Live! Memphis will begin at 8 am, and end at 2 pm. As a Vendor, I am responsible for ensuring that at least one representative will remain on-site throughout the duration of the event. *
Booth set up will take place on Friday, February 2, 2018 from 3 to 6 pm. There will not be an opportunity to set up your booth the morning of the event.
As a Vendor, I am responsible for leaving the area designated for my organization, in the same condition as it was presented. *
Completion of this registration, is not a guarantee of acceptance as a vendor. You will receive confirmation via email, of the status of your application within 10 days of form submission. Should your organization be chosen as a Vendor, you will be sent a link to pay for your Vendor fee. *
By typing your name below and attesting to the statements above, you, as a representative of your company, verify that the information contained in this Vendor Registration form is true to the best of your belief. Common Table Health Alliance, Memphis Breast Cancer Consortium or their affiliates will not be held liable for lost, stolen or damaged goods, or any injury incurred during Live! Memphis.