Fall Classic Vendor Application

Fall Classic Vendor Registration

Business Name:(Required)

Contact Info:(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Please list your website and any social media for publicity purposes:

Please upload liability insurance here:

Max. file size: 32 MB.

*All vendors must provide a copy of their liability insurance before their application can be confirmed. If unable to upload, please email a copy to melissa.bradford@barcprograms.net

Payment:

Vendor Registration Fee:

Price: $40.00

Total

Credit Card

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Application Agreement: Please read the waiver below

Signature(Required)

Name

This field is for validation purposes and should be left unchanged.

My son can’t wait to get there; we love all the people who work. We appreciate the outstanding efforts made by the staff every day.

My daughter is lovingly cared for by staff who are always helpful.

My son is always happy to go to BARC and is joyful!

We could not be more pleased with the care and support of the staff.

I absolutely love BARC, my job, my coworkers, and of course the individuals! I believe in the agency and its mission. BARC is the best agency I have ever had the privilege to work for.

I am very pleased with the program; staff are very professional and courteous. They are knowledgeable and answer all questions extremely well.