Pittie Party 2023 Vendor Registration Form

Organization Name*
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
PA Tax ID (if applicable)
Vendor Booth Size & Fee: 10' x 10' for $20.00
- Yes! I would like to reserve a space for the Pittie Party on Saturday, October 21st, 2023. The event is from 11am to 3pm.
For payment
- I will send a check to the Humane Society of Harrisburg Area, attn: Kristi Kleinfelter, 7790 Grayson Road, Harrisburg, PA 17111
- I will bring cash to HSHA, attn: Kristi Kleinfelter
- Please charge my Visa or Mastercard (if charging to card, please fill out info below)
Card #
Exp. Date
CVV Code
Name on Card