District 5 NNO Organization Form District 5 National Night Out Vendor Registration FormAn email will be sent closer to the event date with a map of the site and further instructions.Please enable JavaScript in your browser to complete this form.Organization Name *Brief Description of Your Organization: *Contact Person Name: *FirstLastEmail *Phone * Tent or be Street Address of the Organization: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWill you be bringing a resource table? *--- Select Choice ---yesNoVendors are required to bring their own: Table, Chairs, Tent (if desired for shade/weather protection). The event will not provide tables, chairs, or tents. *I acknowledge and agree to bring my own table, chairs, and tent if needed.I acknowledge that an email will be sent closer to the event date with a map of the site and further instructions.Submit Share this:Tweet Print (Opens in new window) Print Email a link to a friend (Opens in new window) Email