Agency/Vendor Sign-Up for WHA's 12th Annual Community Block Party

WHA 12th Annual Community Block Party Agency/Vendor Sign-Up Form
Table Reservation of $100.00

Please submit the following information by July 1st to sign your company up for WHA's 12th Annual Community Block Party on July 30th.

• Agency Name
• Address (Street, City, State, Zip Code)
• Description of Services
• Representative Name and Title
• Email and Phone Number

Additional Information

• You may park at 405 Belvidere Road, Waukegan, IL 60085.
• Report to 215 S. MLK Jr. Avenue to sign in.
• We encourage you to bring a canopy/tent.
• We will provide a table and two chairs.
• Please return this form by July 1st

For more information, and to submit forms, please contact Lupe Navarrete at 847.625.4616 or email [email protected].

For more information about WHA's 12th Annual Community Block Party, please click here.