2024 Terrace Bay Health Fair, Vendor Registration

Vendor Information Form
Today's Date

MonthDayYear
Date
Vendor Details
Organization name*
Contact Number*
Organization Email*
example@example.com
Website URL
Office Address

Street Address

Street Address Line 2

City / TownProvince

Postal Code
Type of Legal Entity*

MunicipalityIndigenous CommunityNot-for-Profit CorporationFor-profit CorporationOther
Vendor Type*

RegionalLocalProvincialFederalOther
Organization Field/Sector

In-Home Support ServicesHealth Care ProviderMental Health ServicesCommunity ServicesRecreational / Activity ServicesFamily Heath Team (Clinics)Municipal ServicesOther
Target Age Demographic

Under 12 years old12-17 years old18-24 years old25-34 years old35-44 years old45-54 years old55-64 years old65-74 years old75 years or olderAll of the Above
Company Description
Vendor's Representative Name*

First NameLast Name
Vendor's Representative Email*
example@example.com
Number of Tables Needed
Number of Tables Required*
Number of Chairs Required*
Terms and Conditions*
Vendor's Representative Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

Vendor Information Form