2024 ECMS Health Expo Vendor & Sponsor Registration

Vendor & Sponsor Registration
Organization*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Description of Services*
What will you be providing to attendees at the Health Expo?
Table Information
Type of Support*

Vendor (1 table)Non-Profit Vendor (1 table)Basic Sponsor (up to 2 tables)Platinum Sponsor (up to 4 tables)
How many tables will you need at the Health Expo?*
If you do not wish to have any tables, put "0"
Upload IRS Determination Letter

Cancelof
Do you need access to electric?*

YesNo
Additional Setup Notes/Requests
If you need anything else in addition to a table and two chairs, please describe those needs above.
Payment Type*

I will send a check.Credit Card
Check Payments

Check should be made payable to Erie County Medical Society and mail to:

Erie County Medical Society
400 Winding Creek Blvd.
Mechanicsburg, PA 17050

Payment due by November 1, 2024. Questions can be directed to ECMS Staff at eriecms@pamedsoc.org.

My Products

Non-Profit Table

$70.00

Vendor Table

$200.00

Basic Sponsor

$1,000.00

Platinum Sponsor

$2,000.00

Total

$0.00

Vendor & Sponsor Registration