Event Vendor Registration Form

Complete the application to sign up as a vendor! Please note the following:

1. We do not allow refunds. All purchases are final.

2. If approved, an invoice will be sent to the provided email address.

3. The only guarantee of a spot inside the exhibit hall is completing the purchase.

4. If you have any questions, please email corey@thehealthyproject.co

Your Name*

First NameLast Name

Business Name*

E-mail*

example@example.com

Phone Number*

City where you are located*

Special Requests

Consent to Photograph /Videotape / Interview Individuals

Please read, date, and provide your signature on the next pages

Terms & Conditions

I hereby agree and give my permission for The Healthy Project LLC and/or partners to record, film, photograph, audiotape, or videotape myself (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the Healthy Project and My City My Health website and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of The Health Project's control. I agree that I will not hold The Healthy Project responsible for any harm that may arise from such unauthorized reproduction.

I am over 18 years-of-age and I have read this waiver and am familiar with its content*

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Exhibitor fee: $250.00