Vendor Registration – 2023 Senior Fair

Please complete and submit the form below to register for Rep. Friess’ and Sen. Bryant’s 2023 Senior Fair.

Vendor Name(Required)

First Last

Organization

Email(Required)

Enter Email Confirm Email

Phone(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Will you be providing health screenings?(Required)

Do you need electricity for your booth?(Required)

What type of screening will you be providing?(Required)

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