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In This Section
Please don't fill out this input box.
(*) denotes required information.
Organization Name
*
Contact Person
*
Contact Person's Email
*
Organization Phone Number
*
(e.g. 814-732-2000 or (814) 732-2000)
Will you need electrical power?
*
Yes
No
Please write an 8-10 word description of what you would like to say about your business/organization in the flyer that is handed out at the event.
*
What would you like to contribute for the prize baskets that are displayed on the day of the event?
*
What do you plan on doing/displaying at your table during the fair?
*
If you know anyone else interested in participating in the health fair please put their organization name and contact information.
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