LA-B2H Vendor Registration Form

Leadership Albany C/O 2025: Back to Health Vendor Registration Form

Event will be held on Saturday, August 2nd from 11:00am-2:00pm at ASU West Campus in the Arena/Gymnasium. Please register by Friday, July 18th. Set up starts at 9:00am. Vendor Morning Mingle at 10:00am. For more information or questions, please email patrice@helpingmamas.org or Courtney.Proctor@lifelinkfound.org.
Name of Organization*
Organization Point of Contact*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
We will provide each vendor with one table and two chairs. Do you need any additional resources for your table set up (electricity, more chairs,etc.)?
What resources or services will your organization provide? Check all that apply.*

Organization brochures/Educational ResourcesDoor prizes/SwagFood GiveawaysMedical Screenings (** must provide proof of liability insurance)Fitness Demonstrations"other"
There is no charge to set up as a vendor. If possible, we kindly ask if your organization can provide school supplies for the attendees.
Please upload your organizational logo Here.

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If you are providing medical services of any kind, please upload your proof of liability insurance HERE.

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Should be Empty:

Leadership Albany C/O 2025: Back to Health Vendor Registration Form