Event Vendor Registration

Come be a part of it! Do you have goods or services that could benefit low-income families in our community?  

We invite business and organizations to join us at Community Impact events to share valuable goods and resources with our community. 

Please read the Event Vendor Terms & Conditions and fill out the form below. You will be contacted with more information. 

Questions can be directed to kriswhisenhunt@visionaryouth.org. 

Thank you for joining us!

Payment Amount

$165.00

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Select a Payment Method

1. Credit Card
2. Bank Account

Cardholder Name

Credit Card #

Expiration Date

Security Code

Cover the fee associated with this online transaction?

1. Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

1. Checking
2. Savings

Account Number

Routing Number

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged