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2. Vendor / Sponsor Name*

   Please write the business, organization, or vendor name exactly as it should appear on printed and/or promotional material & social media.

3. Type of Business/ Organization

   1. For Profit
   2. Non-Profit
5. Name*
6. How do you prefer to be contacted?

   1. Phone

   1. Email
8. Address
10. City
11. State
12. Zip Code
14. Phone Number*
15. Email Address*
19. Area of interest
21. 1. I want to be a Sponsor

    1. I want to be a Vendor

    1. I have a Food Truck
23. Event Name & Date
25. Sponsor/Vendor Level

    1. Title
    2. Co-Sponsor

    1. Vendor
    2. Other
27. Goods & Services Provided
29. Dollar Amount of Check Enclosed

    If paying in check.

30. Dollar amount estimate of Goods & Services

    If donated.

32. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature*
36. For Checks:

    Make checks payable to:      

    City of Longwood Attn: Community Events 

    Leisure Services Department          

    175 W Warren Ave Longwood, FL 32750

     

37. For Credit Card Payments:

    Call Donna Alt-Bowes at 407-260-3428

39. *Please include a business card if applicable for advertising purposes.*

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field