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*Vendor Registration *

Vendor Donation

{{donationOtherAmountLabel}} *

USD

Secure Payment

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First Name *

Last Name *

Submit as a company

Company Name

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Donor Note *

Yes, I would like to donate an item for your silent auction. Please place description of item in box above. Thank you!

Notes

Do you need electricity? Please put yes or no in box above.

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Card

ACH

By submitting this vendor registration, I will not hold The Humane Society of Oldham County or City Place responsible for lost, stolen, or damaged items or any misgiving of your booth during this event. You agree to give HSOC permission to use photograph

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

{{donationAmountStr}}/{{recurringUnitText}} USD

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Humane Society Oldham County

2601 Interior Way

LaGrange, KY 40031

hello@oldhamhumane.com

oldhamhumane.com

502-222-7537