Wander Ellwood Registration Wander Ellwood Participation Form "*" indicates required fields Owner/Seller Name*Business Name*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Products to be sold*Are you a member of the Ellwood City Area Chamber of Commerce?* Yes No Vendor Type - Member*Select...Business/mobile vendor/ organizationBrick and Mortar located within the Central Downtown DistrictVendor Type - Non-Member*Select...Brick and Mortar located within the Central Downtown DistrictMobile Vendor / Organization / BusinessDo you request to be in the tented gravel lot area?*Estimated 15 Spaces Available, you will be contacted if you have been selected to use the tented area. Yes No By completing this form, you will be registered for all four Wander events. If you are unable to attend all four, please select the dates you plan to participate. June 10th July 15th August 12th September 9th Vendor Rules* I agree to the Wander Ellwood Vendor rules outlined below.Event is rain or shine; all costs are non-refundableSubmitting a form does not guarantee vendor approvalAll vendors are responsible for securing and supplying tables and set up itemsAll vendors shall comply with all local, state and federal regulations concerning health code provisions and licensingElectricity is NOT availableLimited space for tents is available in designated areas. NO tents are permitted on sidewalks.The committee reserves the right to accept or reject any applicant or item(s) offered for saleTotal Credit Card* Cardholder Name Card Details
