Vendor Registration "*" indicates required fields Name of Vendor* First Last Business Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Email Address* Product/Display Description* Jewelry Apparel Arts and Crafts Other Other Product Description Space needed/Special RequirementBusiness Insurance Certificate*Please attach proof of insurance for your business.Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.Select the performance(s) of your choice:Vendor Registration*Langston Hughes' Black NativityShow Option* Sunday, December 04 @ 3:00 pm Show Setup Time: 2 hours before the start of the performance. Tear Down: No later than two hours after the end of the performance. Vendors must adhere to policy and guidance of the facility. Consent*I hereby apply as a vendor for CAPAC’s theatrical production. I understand set-up/breakdown times and the aforementioned requirements. Also, I’m aware that I’m responsible for liability insurance, as well as compliance with all requirements for business operations within the state of Virginia. Application Deadline: By 5:00 p.m., Tuesday, November 15, 2022 or until each slot is filled. Cancellation Refund: There will be no refunds after November 15, 2022, consider your payment a donation to our non-profit organization? Vendors must adhere to Hylton Performing Arts Center Policy and Guidance of the facility. I agree to the terms and policies.Check OutTotal Payment Method*Credit CardPayPal Checkout DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.