Gift Store Vendor Application

Completion of this form should not be construed as a guarantee that Loggerhead Marinelife Center will purchase any goods or services from the applicant.

Correspondence should be sent to: Kfratalia@marinelife.org.

Or if you would like to mail in your application with samples or photos, please send to:

Loggerhead Marinelife Center
Attn: Kate Fratalia/Vendor Application Form
14200 US Highway One
Juno Beach, FL 33408

It is Loggerhead Marinelife Center policy not to return/purchase any product samples.
Any product samples sent in for review will be used for fundraising opportunities.

Today's Date *

Company *

Contact Name *

Address

City

State/Province

Zip

Phone

Email *

Web Site

Do you give permission for purchased products to be sold on our website?

Give a brief description of your product(s) including cost:

What retail outlets in a 10 mile radius sell this product?

Where are products manufactured?

For more information e-mail: kfratalia@marinelife.org.