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LT Senior Services Lakeway Senior Wellness Expo October 2019 For-Profit Exhibitor Application
Sponsored by the LT Senior Services
October 29th, 2019 11:30 AM - 4:30 PM
Lakeway Activity Center

Deadline to Register: October 10, 2019. Applications received after October 10th may not be included in advertising, etc.

If you need help with this form, please call Cyndi Cummings at 512.423.6782

*We will provide an 8-foot table and two chairs. We do not provide table cloth.
Exhibitor Information
Business Name *
Your answer
Business Contact Name *
Your answer
Contact Phone Number *
For the day of the event
Your answer
Email Address *
Your answer
Business Physical Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Mailing Address
If different from above
Your answer
Business Phone # *
Your answer
Business Website
Your answer
Will you be providing any special testing or demonstrations?
We will provide you with space to advertise any medical testing or demos.
Your answer
Special Requests
Please enter any special requests or needs for set-up on the day of the event
Your answer
Would You Like a Free Lunch? *
You may request one free lunch per exhibitor. There is no food for purchase on site.
Would you like to contribute a door prize? *
Required
Description of Door prize (if applicable)
Your answer
Please write a 50-word description of your business and services for our vendor catalog and to determine what type of business or service you will be presenting. *
Your answer
Payment Agreement *
You will receive an invoice via PayPal which must be paid within 7 days of receipt.
Required
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