Health Fair Vendor Registration

Business/Organization Name

Contact Person Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Business Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Type of Business/Organization

Please describe the products or services you will offer at your booth.

Booth Size Preference

Other (please specify in comments)

Will you require electricity at your booth?

Do you have current liability insurance covering your participation at the event?

Please upload a copy of your current liability insurance certificate (if available).

Will you be providing food or beverage samples?

Have you read and agree to comply with all health and safety regulations for the event?

Additional Comments or Special Requests

Signature (please sign to confirm your registration and agreement)