Vendor Intake

Vendor Intake Form

Tell Us Everything!

Keep in mind, the more information we have, the better we can evaluate help that's available.

PLEASE PROVIDE A HEAD SHOT AS WELL AS PHOTOS OF YOUR WORK, DAMAGE AND ESTIMATES

NO Photos will be posted or shared publicly without permission.

Name*

Last name*

Where do you sell?*

If Other

Do you live on Captured Land?*

YES

NO

DON"T KNOW/UNSURE

If yes, can you show you have current permission to lve there?

Best Way To Contact You*

FaceBook Messenger

Email

WhatsApp Number*

FaceBook URL*

Email Address*

Describe damage to your home/work place as a result of the hurricane*

Can building materials be reused?

YES

NO

Do you have an estimate for needed materials?

Yes

No

Are you receiving or have you received disaster aid from any government or other private agency? If so, identify agency and describe help received*

Did you lose supplies you use for your trade?*

YES

NO

If yes, describe your loss

Do you have anything to sell now?*

YES

NO

Do you make money any other way?*

YES

NO

If yes, how?

Are you interested in growing food, to eat or for sale?*

YES

NO

Do you have any experience growing food? If so, describe.

Do you need help with Social Media?*

YES

NO

Do you prefer Voice or Written messages?*

Voice

Written/Text

Either is fine

Are you interested in participating in a one day market on the beach, highlighting local beach vendors? (Likely mid-late January)*

YES

NO

POSSIBLY

Are you interested in learning more about a Beach Vendors' Group being formed to strengthen vendors' voices and explore new ways to thrive?*

YES

NO

Message: Anything else you'd like us to know

Form Completed By*

Self

VOLUNTEER

Volunteer's Name

Do you want us to use your photos for fundraising?

Yes, Everything

NO, Nothing

Headshot Only

Damage Only