Health and Wellness Fair Vendor Sign Up Form

*A Certificate of Insurance is required for all vendors.

* Required

Contact Name *

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Contact e-mail *

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Contact Phone # *

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Organization Name *

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Description of Organization

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Details of Activity/Showcase

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Space Required

ie: 6' Table, Floor Space

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Special Requests

ie: Electricity, Water, Chairs

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Other Requests/More Info

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Referred by

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