2023 Discover Kenmore "*" indicates required fields Contact Person* First Last Business Name* Are you a current KBA Member? Check our website if you are unsure. 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 $100 10x10 Space Non KBA Member $85 10x10 Space KBA Member $25 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 $110 10x10 Space Non KBA Member $95 10x10 Space KBA Member $45 *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 Section Break Δ
