The Preventive Measures Foundation Health Fair Vendor Registration Form

The PM Foundation Health Fair Vendor Registration Form
The Preventive Measures Foundation is excited to announce our upcoming community health fair at Northampton Community College on Wednesday, October 2nd, 2024. we will have up to 25 vendors providing valuable information and resources to enhance the health of our community members. In addition to the vendor booths, we will host up to six workshops that offer detailed insights into specific health issues. Participating vendors and presenters will be promoted on our website and social media platforms. We look forward to your participation in making this event a success and continuing our mission to foster a healthier community.

Event Name: The Preventive Measures Foundation Health Fair
Date: October 2, 2024
Setup Time: 8:00 AM - 8:45 AM
Event Time: 9:00 AM - 3:00 PM
Location: 6th Floor, Northampton Community College Fowler Center, 511 E. 3rd St, Bethlehem, PA 18015
Contact Person: Paula Gonzalez, MSW LSW, Executive Clinical Coordinator
Phone: 610-969-6154
Email: pgonzalez@thepmfoundation.org
Organization/Company Name:
Contact Person
Include your name and job title
Contact person number
Contact person email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website (if applicable):
Vendor Category:

Healthcare ProviderMental Health ServicesNutrition and WellnessFitness and Physical ActivityLocal Community OrganizationInsurance CompanyEducational InstitutionCultural OrganizationScreening Services (e.g., blood pressure, cholesterol, diabetes)Other
Table Requirements:

Table and Chairs:
Each vendor will be provided with one table and two chairs.
Vendors must bring their own tablecloths.

Electrical Outlet:
Note: Electrical extensions and outlets will not be provided.
Payment Information: $150 per table (You will be redirected to a payment portal upon submission of this form. Sponsorship opportunities also available and include a vendor table/chairs.)

Credit CardACHCheck (Please make payable to The Preventive Measures Foundation and mail to Attn: Paula Gonzalez, 519 W. Linden Street, Allentown, PA 18101)
Describe the Interactive or Educational Activities Planned for Your Table:
Materials will be available in (Check all that apply):

EnglishSpanishBoth
Any Special Requirements or Requests:
Vendor Amenities:

A continental breakfast will be served for vendors, including:

Regular and Decaffeinated Coffees
Hot Tea
Choice of One Juice: Orange Juice, Cranberry Juice, or Apple Juice
Each vendor registration includes a Traditional Bag Lunch for up to two attendees per table. Please select one sandwich option per attendee:
Attendee #1 Lunch Selection:*

Ham & Swiss Cheese on KaiserSmoked Turkey Breast & Swiss Cheese on KaiserRoasted Vegetable and Hummus Wrap
Attendee #2 Lunch Selection:

Ham & Swiss Cheese on KaiserSmoked Turkey Breast & Swiss Cheese on KaiserRoasted Vegetable and Hummus Wrap
Agreement: By signing below, you agree to participate in the Preventive Measures Foundation Health Fair and comply with all event guidelines and regulations.

Clear
For any questions or additional information:

Paula Gonzalez at 610-969-6154 or pgonzalez@thepmfoundation.org.

Thank you for your participation and support! We look forward to a successful event together.
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The PM Foundation Health Fair Vendor Registration Form