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Thank you for your interest in participating in the 2013 Health Fair. In order to participate, please fill out the form below by Friday, March 29. We look forward to seeing you on Wednesday, April 17!
Agency:
Contact Person:
Email Address:
Phone Number:
Address: City: State: Zip Code:
Services to be offered:
Electricity Needed: --Select-- Yes No
Number of Tables/Space Needed (8 foot tables):
Products/Services to be sold:
Planning to arrive late?: --Select-- Yes No If so, please specify time of arrival:
Prizes you may wish to donate:
How do you plan to make your booth interactive so the students and community member may participate?:
Would you like to do a demonstration? (5-15 minutes): --Select-- Yes No If so, what would you like to demonstrate? (You will be contacted regarding a time, and any other needs you may have):
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