Vendor Membership

Email*

Email*

Store Name*

Store Name*

https://mobiimarketshop.com/store/[your_store]

Store Phone*

Store Phone*

Business / Organization Name*

Business / Organization Name*

Legal Structure*

Legal Structure*Sole Proprietor LLC Corporation Nonprofit Informal / Not Registered Yet.

Owner / Primary Contact Name*

Owner / Primary Contact Name*

Role*

Role*Owner Co owner Manager Representative

Vendor Category*

Vendor Category*Food / Beverage Artisan / Handmade Retail / Merchandise Nonprofit / Cultural Organization Information / Community Services.

Years in Operation

Years in OperationJust Starting Less than 1 year 1–3 years 3–5 years 5+ years

Primary Sales Channels

Primary Sales ChannelsIn person events Online (website or social media) Brick and mortar Delivery based Social media only.

Based in Third Avenue / South Bronx area?

Based in Third Avenue / South Bronx area?Yes No

Health Permit Status*

Health Permit Status*Valid NYC Permit Temporary Permit in Process Not Yet Obtained

Type of Food Served*

Type of Food Served*Packaged / Pre made Hot food on site Beverages only

Are you interested in selling online through Mobii Market Shop?*

Are you interested in selling online through Mobii Market Shop?*Yes Maybe / Want Info Not at this time

What support would help your business grow?*

What support would help your business grow?*More events Online sales tools Marketing / promotion Business registration help Payment processing

Permission to feature your business in event promotion?*

Permission to feature your business in event promotion?*Yes No

I understand this is a free community event. I agree to follow setup/breakdown times, safety guidelines, and community standards. Final vendor placement is subject to space and operational needs.*

I understand this is a free community event. I agree to follow setup/breakdown times, safety guidelines, and community standards. Final vendor placement is subject to space and operational needs.*

Password*

Password*

Confirm Password*

Confirm Password*