Vendor Form
Missouri Council of the Blind Sports and Recreation
White Cane Safety Day October 14, 2023
Ellis Riverfront Park, 300 Ellis Porter Dr, Jefferson City, MO  65101

Please complete the online form below.
Payment is due September 22, 2023 in either of these two ways:

• Make check payable to Missouri Council of the Blind and mail to:
  5453 Chippewa Street, St. Louis, MO 63109 - or -
• Pay online upon submitting the below form with credit/debit or PayPal.

Thank you for being a vendor of Missouri Council of the Blind White Cane Safety Day on October 14, 2023 in Ellis Riverfront Park, 300 Ellis Porter Dr., Jefferson City, MO.
Please complete the online form below or download WCS Vendor form.pdf and complete with payment by September 22, 2023.

Only Complete below if you are a Vendor: