Please enable JavaScript in your browser to complete this form.Vendor Name *FirstLastVendor Email *EmailConfirm EmailVendor Phone *Business NameBusiness Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeVendor Category *--- Select Choice ---Painting/DrawingSculptureJewelryFabric/ClothingFoodOtherProducts You Plan to Sell *Do you have the required permits/licenses for your products? *YesNoIn progressNot sureN/AUpload Permits / Certifications (if applicable) Drag & Drop Files, Choose Files to Upload Upload 3 Images of items for sale * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Night Market Needs / Setup Requirements *ElectricityTableTent/Canopy SpaceNoneAdditional Notes for Your Night Market Vendor Application sale Upload your Marketing Consent All chosen vendors will be subject to have their name, and or images used in promoting the Night Market by either the VAPA Center or TD Bank. Submit Market Vendor Application