Senator Ward's Senior Expo - Senator Ward, K

Thursday, October 17, 2024 | 10:00 AM to 1:00 PM

Hempfield Township Athletic Complex,
Hempfield Park
220 Forbes Trail Rd, Greensburg, PA

Please RSVP by Tuesday, August 6, 2024.

Exhibitor Registration Form

Organization Name*

(For Program Booklet)
Name of person(s) who will be attending:*
Name 1 Name 2 Name 3

We will require ___ parking placards for exhibitor vehicles (1, 2, 3, 4). Parking placards will be emailed to registered exhibitors no later than one week prior to the event.*
Please enter a number from 1 to 4.
Primary Contact Email (This email is used only to communicate with attending exhibitors and is not publicized.)*
Enter Email Confirm Email

Organization Mailing Address (Please list as you wish to appear in program distributed to attendees)*
Street Address Address Line 2 City State ZIP Code

Organization Phone (Please list as you wish to appear in program distributed to attendees)*
(For Program Booklet)
Organization Description (Please provide a short description for inclusion within the program distributed to attendees.)*
Exhibitor Space
The information below will help us determine your needs for your space.
All organizations will be provided with an 8’ table. In a few cases, additional tables may be available. If you would like to be considered for an additional table, please indicate the total number you require here: _______ tables.
If you require more than the two chairs that are provided, how many TOTAL chairs do you need?*

Please tell us how many chairs you need for your exhibit, 2 are provided, if you need 4, please tell us 4.
Check One - I/We will require an electrical outlet.*

Yes

No
Check One - This organization is a non-profit (501c3) or governmental agency*

Yes

No
I/We will be providing a healthcare screening.

Yes

No
If Yes, describe health screening.

Comments
This field is for validation purposes and should be left unchanged.