Join us at Be Well Community Wellness Expo
Date: Saturday, August 3d 2024 Address: YMCA 4900 High St. W Portsmouth, VA Questions? Contact us at (757) 276-1603 or info@visiondriven757.org. Please note: Submission of this form does not solidify participation in Be Well. Participants will only be confirmed upon receipt of this application and supply contribution (see below).ALL APPLICATIONS WILL BE DUE BY JULY 15TH AT THE LATEST
Name
First Name
Last Name
Business/ Organization Name
Email
Business Type (check other to specify)
Medical Provider
Mental Health Provider
Community Resource
Educational Resource
Extra Curricular Resources
Other
How will you contribute to the event?
Donating $50 (minimum) worth of school supplies (due by July 19th)
Pay $50 vendor fee (due by July 15th)
Will your business/organization donate a product/service to be raffled?
Yes
No
If yes, what product/service will be provided?
Social Media Handles
Business Logo
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