Women Destined For Greatness, Inc.
Vendor Application

Name/Organization ________________________________
Address_________________________________________
City ___________________ State ____________________
Email Address __________________________________________
Affiliation _____________________________________________
Type of Product __________________________
Title ______________________________
Description __________________________________________
__________________________________________________
How Many Tables will be needed? _____________
There is a $50.00 per table fee required with this application 30 days prior to any event.  All fees are NONREFUNDABLE!
Make your payment via my paypal account or you can mail form and payment to Women Destined For Greatness, Inc. Renee M. Clerk
P.O. Box 20443, Staten Island, NY 10302