BECOME A VENDOR

VENDOR APPLICATION

Please fill out the form below to apply to become a vendor at the 2022 Wayne D. Horner Memorial Stand Down Madison. October 8th, 2022

Organization Name

Contact Person

Address

Phone Number

Email

Type Of Service Offered

Employment/Training

Education

Housing/Utilities

Medical/Mental Health

Financial/Benefits

Legal

Personal Needs (Haircuts, Hygiene, Clothing)

Transportation

Veteran Service Organizations

Other

Enter Other Service Offering Here

Please enter a brief description of what your agency will provide to the veterans.

What will you need the day of the event?

How many people from your agency will be attending?

Considering all of your volunteers, how many volunteer hours will you likely contribute during the event?

How many years has your agency participated in the Wayne D. Horner Stand Down?

Preferred Contact Method

Mail

Email

Phone