IOAD Vendor Registration Form

Thank you for your interest in joining Mercer Council as a Tabling Partner or Vendor for our International Overdose Awareness Day event! Please complete the form below to register.

Reminders: We ask that our vendors bring their own tables and chairs (tents if preferred). All vendors must arrive at Veterans Park (Klockner Rd Entrance) by no later than 4:30pm for set-up on the day of the event.

*Please note: The deadline for Vendor Registrations is Thursday 8/15. Requests submitted after this date cannot be guaranteed a table due to space limitations. Please reach out to Caitlin Allen at callen@mercercouncil.org with any questions about Vendor Registration.

"*" indicates required fields

Step 1 of 4

25%

Contact Information

Contact Name*

First Last

Email*

Phone*

Registration Type*

Exhibitor (Tabling)

Vendor (Food trucks, entertainment, etc.)

Organization Information

Organization Name*

Number of Representatives Attending

123456+

Name of Rep #1*

First Last

Note: This is the primary point of contact for the group and is usually the name of the person who entered contact information on the previous page.

Name of Rep #2*

First Last

Name of Rep #3*

First Last

Name of Rep #4*

First Last

Name of Rep #5*

First Last

If 6+ Reps Attending

Please list the first and last names of all additional representatives attending, besides the primary point of contact.

Category/Industry of Organization*

Law Enforcement/First RespondersRecovery/TreatmentGrief and Family SupportPrevention EducationHealthcareOther (please specify)

Other (please specify)*

Business Information

Business Name*

Business Type*

Street Food TruckGourmet Food TruckFast Food TruckDessert TruckVeg/GF Food TruckBBQ Food TruckOther (please specify)

If Other, please specify:

Website

Social Media Handle

Brief Description of Business*

Indicate price ranges, experience with past events, approx. crowd sized typically served.

Upload Certifying Document(s)*

Drop files here or Select files

Max. file size: 10 MB.

Upload proof of permit/license allowing sales in the State of New Jersey.

Consent*

I hereby confirm that my business/vendor has all necessary permits and/or up-to-date licenses required to participate in this event.

Signature of Main Contact*

T-shirt Sizing

Tshirt Size of Rep #1*

Select size…Youth MedYouth Large / Adult XSAdult SmallAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL

Tshirt Size of Rep #2*

Select size…Youth MedYouth Large / Adult XSAdult SmallAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL

Tshirt Size of Rep #3*

Select size…Youth MedYouth Large / Adult XSAdult SmallAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL

Tshirt Size of Rep #4*

Select size…Youth MedYouth Large / Adult XSAdult SmallAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL

Tshirt Size of Rep #5*

Select size…Youth MedYouth Large / Adult XSAdult SmallAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL

If 6+ Reps Attending

Please list the first and last names and t-shirt sizes of all additional members of the group besides the primary point of contact.

Phone

This field is for validation purposes and should be left unchanged.

Δ