Pop Up Shop Vendor Application Form

Do you give permission for pictures of your booth at the Hayes Place Pop Up Shop to be used on our website and Facebook page for promotional purposes? *

First Name *

Last Name *

Company Name *

Address

Street Address

City

State

Country

Postal code

Phone *

Email *

Website or Etsy Site

Do you need an electrical outlet?*

Please provide a description of your business and the products that you sell. Tell us what makes your business unique and special.*

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.