Contact Person* First Last Business Name* Are you a current KBA Member? Yes Tax ID (Certificate of Authority)* Email* Contact Phone*Submit your Website, Facebook, Instagram & Etsy Accounts*MUST show examples of work/productsCategories (Check one)* Art Bath & Body Candles Ceramics Clothing Design & Fashion DIY & Homemade Food Glassware Illustration & Design Jewelry & Accessories Painting Paper craft/Stationary Pet Products Photography Pottery Vintage Woodworking B2B Other Village of Kenmore Special Event QuestionsPermanent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you 18 years of age or over?* Yes No Have you been convicted of any crime, misdemeanor or violation?* Yes No If yes, state the nature of the offense and the penalty Have you even been classified as a sexual offender?* Yes No Upload a copy of your DL*Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB.PaymentVendor Type* I am an artist, food or small shop vendor selling a product I am an B2B vendor who will NOT be selling a product but looking to advertise my business Yes, I am an artist, food or small shop vendor selling a product:* 10x10 Space & Join the KBA $120 10x10 Space Non KBA Member $100 10x10 Space KBA Member $45 Payment: If you don't submit under the right payment option your fee will be refunded and you will need to re-apply!Yes, I am an B2B vendor who will NOT be selling a product but looking to advertise my business:* 10x10 Space & Join the KBA $140 10x10 Space Non KBA Member $120 10x10 Space KBA Member $65 *business must have a giveaway item and have a location in Ken-Ton or North Buffalo Payment: If you don't submit under the right payment option your fee will be refunded and you will need to re-apply!Total Credit Card*Card Details Cardholder Name Δ
