Application

Application

Name
First Last
Email
Phone
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website
Which UMW graphics are desired?
Type of License Requested
- Standard License
- Restricted License
Restricted licenses are for vendors who plan on selling less than $2,500 in merchandise for a year, to non-chain retailers only.
Description of planned merchandise
Manufacturer of above merchandise
Retailer Information
Enter information on where merchandise will be sold