Crafted & Co.

Full Name:*

Title / Position:*

Phone Number:*

Email Address:*

Street Address:*

City:*

State/Province:*

ZIP/Postal Code:*

Country:*

Which event are you interested in joining? *

Any additional information you would like us to know

Preferred Payment Method:*

ACH / Direct Deposit

Check

Other

Accounts Payable Contact Name:

Accounts Payable Email:*

Minority-Owned

Woman-Owned

Veteran-Owned

Small Business

Other Certification: Attach copies of certifications if applicable.

W-9 Form:

Business License:

Certificate of Insurance:

Any other certifications:

By submitting this form, I certify that the information provided is accurate and truthful to the best of my knowledge.

Authorized Representative Signature

Date:*

I agree to the terms and conditions.

Vendor Registration