Vendor Registration

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Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://www.communityconnection.shop/store/[your_store]

Store Categories*

Store Categories*Antiques & CollectiblesReal Estate for Sale & RentalsHome Improvement ServicesPhotographers & CinemaMusic & Musical InstrumentsNews & EntertainmentNonprofitsMarketingJewelry BusinessesHome Improvement & Household ProductsIndustrial & Scientific EquipmentHealth & WellnessFinancial PlanningFoodFurniture & AppliancesEvent PlanningEducationalElectronics, Computers & Office SuppliesCDs, DVDs, Blu-Rays, VHS & VinylClothes & Apparel

Store Phone*

Store Phone*

Company Name

Company Name

Position

Position

Community

CommunityAfrican African American or DOS Alaskan Native Asian Asian American Australian Central American European European American Hispanic or Latin American Middle Eastern Native American North American South American Other Multicultural

Industry Type

Industry TypeBusiness Owner Entrepreneur Investor Community Leader Consumer Professional

Business Type

Business TypeWoman Owned Business Veteran Owned Business Minority Owned Business Senior Citizen Owned Business Alternative Owned Business Disability Owned Business

Topics I Want to Hear More About

Topics I Want to Hear More AboutCivil Diasporal Spiritual Professional Economical Educational

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