Senior Info Fair - Booth Registration & Payment

2025 Senior Info Fair Booth Registration & Payment Form

Senior Info Fair | September 18th, 2025 9am - 2pm
SENIOR FAIR LOCATION
Turnstone in the Plassman Athletic Center Fieldhouse
3320 N. Clinton, Fort Wayne, IN 46805

**DEADLINE FOR REGISTRATION**
June 30th, 2025
After June 30th an additional $50 will be added PER BOOTH

TABLETOP DISPLAYS ONLY!
Vendor is responsible for Table Cover (Tablecloth or Table Covering & Skirting)
Business Name*
Contact Person*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

General Booth Questions

These questions pertain to any type of booth registration
Free Health Screenings

At the Senior Information Fair, the vendors can provide FREE health screenings to attendees. Free screenings are listed in the program.
Are you going to be providing a fee health screening at your booth?*

YesNo
What type of Free Health Screening are you providing?*
Please describe the type of screening you will be providing.
Do you have any special needs for your Free Health Screening? (e.g. and extra table, a quiet area, etc.)*
Please describe.
Do you require electricity at your booth?*

YesNo

BOOTH PRICES

Type of Booth	Cost per Booth
Standard Booth	$275.00
NonProfit or Government Booth	$110.00

Would you like to register your booth and pay now or pay by check?*

Register and Pay NowRegister and Pay with Check
How many Standard Booth Spaces are you registering?*
How many NonProfit / Government Spaces are you registering?*
Pay by Check Instructions

MAKE CHECKS PAYABLE TO and MAIL TO:

SENIOR INFORMATION FAIR
Attn: Betty Foster
110 W. Berry St., Ste. 1100
Fort Wayne, IN 46802
Booth Selection*
prevnext( X )
Standard Booth SpaceA standard booth space that includes a 6ft table and 2 chairs.
$275.00 Quantity



NonProfit or Government Booth SpaceA NonProfit or Government Booth Space that includes a 6ft table and 2 chairs.
$110.00 Quantity



Late FeeThis is a late fee for registering after the deadline.
$50.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.