Boutique Parties, LLC
Vendor Application Form

Please complete the following information, where applicable:

Tax ID # (FEIN or SSN):____________________________________________

Organization Type:

 ____ Corporation  ____ Sole Proprietary   ____ Joint Venture   ____ LLC   ____ Partnership   ____ Non-Profit

 Name of Company/Firm (as shown on Federal Tax return): ________________________________________________________________

Alternate name, if applicable (doing business as): ________________________________________________________________

Mailing address: _________________________________________________

City: __________________________ State: ____ Zip+4: ________ -________

Contact Person: _____________________________________

Business Phone#: (____) ____ - ___________

Cell Phone#: (____) ____ - ___________

Fax #: (____) ____ - ___________

E-mail Address (for E-notifications): __________________________________

Company / Firm’s Website Address: _________________________________

City: ___________________________State: ____ Zip+4: ________ - _______

Vendor’s Signature: _________________________ Date Sent: ___________