Project Community Connect Vendor Form Name * First Name Last Name Name of Organization * Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Please describe the services that your organization provides. * Do you have a business card or digital art we can use in our advertising? * If yes, please send it by email or USPS to the address on the contact page. Yes No What do you need us to provide? Table Chairs (tell us how many below) Internet Connection Private Area Describe anything else you need provided. Thank you!
