Vendor Event Registration

A Senior Experience Registration Form

For Vendors
Submit registation form and fee by
October 15, 2025 to guarantee your reservation. Those received after the due date will only be able to participate if space allows.
Vendor Business Name
Contact Name
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
Email Address
Description of product/service being displayed
TUESDAY NOVEMBER 4, 2025

9am-2pm

Location: Perinton Community Center
1350 Turk Hill Rd., Fairport 14450

Reservation Options :

Reservation - For Profit Business$100.00

Reservation - Non- Profit Business $50.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

A Senior Experience Registration Form