Author: Michael

Vendor Registration Form

[Archdiocese Convention]/[DIOCESE NAME} Parish Life Conference]
[DATES]
Hosted By: [HOST PARISH(ES) NAME]
[HOST PARISH MAILING ADDRESS AND CSZ]
[PHONE]
[EMAIL] ~ [WEBSITE]

Vendor Registration Deadline: [DEADLINE]

Our [Convention]/[Conference] continues the tradition of allowing Vendor’s and Display Booth’s to promote/sell their materials and ministries. Based on the [Archdiocese/Diocese] Policies and Procedures the Vendor's/Display Booths are categorized and priced as follows:

	CATEGORY 1 - Archdiocesan/ Diocesan Organizations/Departments & Orthodox Ministries ($300.00): / Archdiocese/Diocesan Organizations/Departments (i.e., Antiochian Women, Young Adult Ministry, Order of St. Ignatius, Teen SOYO, Camp Programs, Dept. of Youth, Dept. of Christian Education, etc), or all other Orthodox Ministries (i.e., IOCC, Focus, Project Mexico, etc.), with the expressed approval of the Bishop, shall be provided with one (1) table for informational purposes only (see below for additional tables). However, if they desire to sell items or actively solicit donations, they will be re-classified as CATEGORY 2 and shall pay the charges set forth below. / Includes: one (1) Archdiocese Registration (exempt from Processing Fee) and an Eighth Page in the Souvenir Journal.	$300.00
	CATEGORY 2 - Vendor/Bookstore ($500.00): / All Vendor’s and Display Booth’s that desires to sell items or actively solicit donations, including but not limited to the Conference Bookstore (including Host Parish Bookstore); re-classified Vendors from Category 1; and, all other Vendors.. However, All Vendors must be directly related to the Orthodox Church or they will not be allowed at the Conference. Secular-only vendors will NOT be allowed at the Conference. / Includes: one (1) Archdiocese Registration (exempt from Processing Fee) and a Quarter Page in the Souvenir Journal.	$500.00
	Additional Tables ($100.00 each x # of tables ____) / Base on availability and a first come basis any of the above CATEGORIES many purchase additional Tables. Number. of Additional Tables:_____ x $100 = ________	$_______

The prices set forth herein apply even after the deadline! All individuals working at any Vendor or Display Booths are required to register and wear, at all times, the Conference Badge. To register additional individuals, go to the website address above. To ensure your Registration Badge is ready upon arrival, please complete the Conference Registration Form and return it by the Deadline. Vendor/Display Booths requiring additional support, i.e. Audio/Visual, Internet/Phone Access, or Electrical Outlets, etc., must contact the hotel directly, to make all necessary arrangements and pay the hotel directly for these charges.

The undersigned Vendor/Displayer agree to hold harmless and to indemnify [HOST PARISH NAME] of {HOST PARISH CITY], [HOST PARISH STATE], , the Hotel and the Antiochian Orthodox Christian Archdiocese of North America, their members, agents, affiliates, parishioners, guarantors, employees, and/or any assigns thereof, for any and all acts arising out of the sale/promoting of materials or any liability, costs, expenses, incidents, losses, and/or occurrences resulting from the undersigned’s actions while selling/displaying materials at this [Archdiocese Convention]/[[Diocese Name] [Parish Life Conference] [DATES].

Company/Organization:_______________________________

Diocese: ____________________________________

Address:___________________________________________

Parish Name:_________________________________

City:______________________________________________

Parish City:____________________ State: ________

State:____________________ Zip Code: _______________

Phone:______________________________________

E-mail:_________________________________________________________________________________________

I acknowledge and understand that all charges and/or donations are non-refundable, as further set forth in the Privacy Statement at www.antiochianevents.org/privacy/XXX, and, unless I have enclosed a check with this form, I hereby authorize the Antiochian Archdiocese [Archdiocese Convention]/[Diocese Name] Parish Life Conference], to charge the credit card below. All credit charges will appear on your credit card statement as Antiochian Archdiocese.
Payment Options (Check one): AMEX Discover MasterCard Visa Cash/Check
Credit Card No: ________________________________________ Exp. Date: _________ CVV2: _______
Signature : ____________________________ Date: _________ Amount: $______ (USD)
Signature required for all forms; Unsigned forms will not be processed!

Please complete the information above. Make check payable to: “[Host Parish]” and mail to the above address. For all credit card payments the name and address on this form must match the name and address on the credit card billing statement. Online Registration available at: [WEBSITE]

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