{"id":2843,"date":"2022-04-19T04:00:00","date_gmt":"2022-04-19T04:00:00","guid":{"rendered":"https:\/\/janice-williams.com\/?page_id=2843"},"modified":"2022-04-19T20:05:25","modified_gmt":"2022-04-19T20:05:25","slug":"vendor","status":"publish","type":"page","link":"https:\/\/janice-williams.com\/index.php\/vendor\/","title":{"rendered":"Be A Vendor!"},"content":{"rendered":"\n<p>Complete the registration form below for each event you wish to attend.&nbsp;<\/p>\n\n\n\n<p><strong>Registration fee&nbsp;<\/strong>(per event) is listed on the registration form below and can be paid through this link:<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-align-center wp-element-button\" href=\"http:\/\/paypal.me\/JaniceWilliams472\" target=\"_blank\" rel=\"noreferrer noopener\">Submit your Registration Fee here<\/a><\/div>\n<\/div>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-81b5cb3d-2513-4da4-8d72-14d7f9d778f3\" id=\"wpforms-2837\"><form id=\"wpforms-form-2837\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2837\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/2843\" data-token=\"4425568942e358377d78daa8eb8fec1c\" data-token-time=\"1777178905\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2837-field_17-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Vendor Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2837-field_17\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][17][first]\" required><label for=\"wpforms-2837-field_17\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2837-field_17-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][17][last]\" required><label for=\"wpforms-2837-field_17-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2837-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_15\">Vendor Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2837-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2837-field_16-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_16\">Vendor Phone<\/label><input type=\"number\" id=\"wpforms-2837-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" step=\"any\" ><\/div><div id=\"wpforms-2837-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_11\">Company Name<\/label><input type=\"text\" id=\"wpforms-2837-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-2837-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_12\">Company Website<\/label><input type=\"text\" id=\"wpforms-2837-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-2837-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_13\">Main Company Number<\/label><input type=\"text\" id=\"wpforms-2837-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-2837-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_14\">Company Address (Street, City, State, Zip)<\/label><input type=\"text\" id=\"wpforms-2837-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-2837-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Please Choose an Event<\/label><ul id=\"wpforms-2837-field_19\"><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-2837-field_19_7\" name=\"wpforms[fields][19][]\" value=\"WOMEN WHO CARE BOOTCAMP - $100\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_19_7\">WOMEN WHO CARE BOOTCAMP &#8211; $100<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2837-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Annual Day of Respite (Aug 2026) - $100\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_19_1\">Annual Day of Respite (Aug 2026) &#8211; $100<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2837-field_19_4\" name=\"wpforms[fields][19][]\" value=\"Book Review Talk - $100\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_19_4\">Book Review Talk &#8211; $100<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2837-field_19_5\" name=\"wpforms[fields][19][]\" value=\"Starting Hard Conversations Workshop - $50\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_19_5\">Starting Hard Conversations Workshop &#8211; $50<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2837-field_19_6\" name=\"wpforms[fields][19][]\" value=\"Caregiving Resources 101 Workshop - $50\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_19_6\">Caregiving Resources 101 Workshop &#8211; $50<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_20\">Please list the names of each representative that will be present for this event<\/label><textarea id=\"wpforms-2837-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/textarea><\/div><div id=\"wpforms-2837-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_21\">Please provide a description and quantity of all items you plan to give away and\/or the topic\/demonstration you plan to present:<\/label><textarea id=\"wpforms-2837-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/textarea><\/div><div id=\"wpforms-2837-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_23\">Attestations<\/label><input type=\"text\" id=\"wpforms-2837-field_23\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"2837\" data-field-id=\"23\" data-text-limit=\"1\" name=\"wpforms[fields][23]\" value=\"Please read and agree to the terms below before submitting.\" placeholder=\"Please read and agree to the terms below before submitting.\" maxlength=\"1\" ><\/div><div id=\"wpforms-2837-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\">As a Vendor, I understand that all fees are non-refundable as they are used to support the programs provided by Janice Williams, RN. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2837-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2837-field_22_1\" name=\"wpforms[fields][22]\" value=\"I understand and agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_22_1\">I understand and agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><label class=\"wpforms-field-label\">As a Vendor, I understand that I am responsible for providing my own equipment &#8211; ie: table cloths, decorations, giveaways (One 6 foot table and two chairs will be supplied for each company). <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2837-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2837-field_24_1\" name=\"wpforms[fields][24]\" value=\"I understand and agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_24_1\">I understand and agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"28\"><label class=\"wpforms-field-label\">As a Vendor, I understand that I am responsible for ensuring that at least one representative will remain on-site throughout the duration of the event. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2837-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2837-field_28_1\" name=\"wpforms[fields][28]\" value=\"I understand and agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_28_1\">I understand and agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><label class=\"wpforms-field-label\">As a Vendor, I understand that I am responsible for leaving the area designated for my organization, in the same condition as it was presented. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2837-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2837-field_29_1\" name=\"wpforms[fields][29]\" value=\"I understand and agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_29_1\">I understand and agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Completion of this application, is not a guarantee of acceptance as a sponsor or event vendor. Your submission will be reviewed within 10 days. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2837-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2837-field_25_1\" name=\"wpforms[fields][25]\" value=\"I understand and agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2837-field_25_1\">I understand and agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-2837-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_26\">Electronic Signature <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2837-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><div class=\"wpforms-field-description\">By typing your name above and attesting to the statements above, you, as a representative of your company, verify that the information contained in this Vendor Registration form is true to the best of your belief. Janice Williams, RN or their affiliates will not be held liable for lost, stolen or damaged goods, or any injury incurred during the above selected event.<\/div><\/div><div id=\"wpforms-2837-field_27-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-2837-field_27\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2837-field_27\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][27]\" value=\"04\/20\/2022\" placeholder=\"MM\/DD\/YYYY\" step=\"any\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2837\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/pages\/2843\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2837\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/janice-williams.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p><em>For more details about Sponsor benefits or packages, <a href=\"https:\/\/janice-williams.com\/index.php\/contact\/\" target=\"_blank\" rel=\"noreferrer noopener\" title=\"\">contact Janice Williams<\/a> <\/em><br>by email &#8211; janice(@)janice-williams.com<br>by phone &#8211; (901) 336-7170<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Be A Vendor! Complete the registration form below for each event you wish to attend.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-2843","page","type-page","status-publish","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/pages\/2843","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/comments?post=2843"}],"version-history":[{"count":17,"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/pages\/2843\/revisions"}],"predecessor-version":[{"id":3211,"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/pages\/2843\/revisions\/3211"}],"wp:attachment":[{"href":"https:\/\/janice-williams.com\/index.php\/wp-json\/wp\/v2\/media?parent=2843"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}