Name of Business

Name of Business Owner/Owner's

Email

Phone (Include Area Code)

What industry BEST describes your primary products?

If "other" was selected, please describe how best to classify your product offerings.

Legal/Tax Information

Do you have a Texas Sales & Use Permit

Yes

No

Unsure

Do you have business/product Insurance?

Yes

No

Unsure

What is your business EIN?

Do you use a DBA name for your business? If so, what is your DBA

Online/Social Media Information

Business Website

What online/social media channels do you use to sale/promote your business or products? Please select ALL that apply.

What is your Social Media Name/Handle?

Product Details

Where are you currently selling your products? (Check ALL that apply)

What products would you like to offer in our store? Tell us about your products, include as much detail as possible.

Tell us about your products target market?

Do you make your own products? (Select "yes" if you have direct physical oversight of production even if you do not make the product yourself. Select "no" if you source the product from another artisan/business)

Yes

No

Unsure

Both

Where are your products made? Who makes your products?

Product Photo

Product Photo 2

Product Photo 3

Product Photo 4

Product Photo 5

Please tell us anything more about your product/business that you'd like for us to know.

Store Vendor Application - Brenham, TX Location

Vendor Application - Brenham Store

Legal/Tax Information

Online/Social Media Information

Product Details