Vendor Information

Eastern Kentucky University has the responsibility to maintain a safe and healthy environment conducive to living and learning on campus. Solicitation regulations are appropriate on the university campus in order that the time, place, and manner of solicitation might better serve the university community. Private business or solicitation may be conducted on campus pending the agreement of the following procedures and approval.

Requests must be submitted at least ONE WEEK in advance.

Contact Information
Applicate/Company Name:
Federal Tax ID Number:	Application Date:
Current Phone:	Cell Phone:
Current Mailing Address:	Length of Time at Address:
Home Address:	Owners Name:
Home Phone:	Work Phone:
Please list three recent schools/businesses for business references
Reference Name:	Reference Phone:
Reference Address:

Reference Name:	Reference Phone:
Reference Address:

Reference Name:	Reference Phone:
Reference Address:

ADDITIONAL INFORMATION
Please list the type of merchandise you sell

I have read and understand the Office of Student Life Vendor Policy (check if you agree)

I authorize the agents of the Office of Student Life at Eastern Kenutcky University to verify any and all information on my vendor application for the purpose of conducting vendor worthiness information. (check if you agree)