Building Blocks Vendor Join us in celebrating and supporting Child Care Providers in Weld County!Saturday, February 22Double Tree by Hilton919 7th Street – Greeley8 – 4:45 p.m.Lunch will be provided for all vendorsPlease fill in all information below. Vendor NameAddress Street Address City State Zip Contact NameEmail PhoneBrief Description of Booth/Items for Sale:Would you like to donate a door prize for the event? (You will receive acknowledgement of your generosity at the event) Yes No If yes, please describe the item and approximate value of door prizeAll Vendors receive a table and 2 chairs at the event Quantity Price: $75.00 Quantity Non-Profit Organizations (to discuss hardship regarding this fee, please contact Lisa Sadar) Quantity Price: $40.00 Quantity Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Any Additional Items Needed for Booth: Δ