Chocolate Celebration Vendor Registration

DATE: 05/05/2023
LOCATION: Kokomo First Church of the Nazarene 2734 S Washington Street, Kokomo, IN 46902

For event details, check out the main Chocolate Celebration event page!

Turn in your registration online

REGISTRATION AND MONEY MUST BE RECEIVED BEFORE May 1, 2023.
$50 for 1 table, $70 for 2 tables

Registration

Business Name
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Contact Name
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Mailing Address
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City
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State
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Zip Code
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Phone
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Email
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1 table for $50 or 2 tables for $70
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Cost $50 for 1 table or $70 for 2 tables
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Electricity Needed
Yes No
List the name and & description of chocolate item you plan to exchange for a Chocolate Celebration ticket, valued at approximately $3.
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Please let us know if you would like the same section as last year or a new location

*I would like to reserve a vendor table/tables at Chocolate Celebration.
E-Signature (Please type name below to confirm)
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Payment Information

Pay online with the form below.

Payment Amount
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Name of Cardholder
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Card Type
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Credit Card Number
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CVV (Digits on back of card)
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Expiration
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Contact Information

First Name
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Last Name
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Email
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Phone
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Billing Address

Street
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City
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State
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Zip Code
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Type the letters from the image.
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