Clone of 2025 Fentanyl Summit - Vendor Registration Form

Vendor Request Form

2026 Fentanyl and Beyond: A Community Response Summit
Event Date: May 12, 2026

Event Time: 9am - 4pm

Event Location: Citrus Heights Event Center

Event Address: 6300 Fountain Square Dr, Citrus Heights, CA 95621
Company Contact Information
Organization/Business Name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Information
Point of Contact

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Overview
Briefly describe your organization's work
Briefly describe the information or services you would like to provide at the conference
How many staff members will be staffing the vendor table?
Any special staff requests or accommodation needs?
This conference is for nonprofits and public health/social service organizations — no sales, fundraising, or alcohol is permitted.

Participants must follow all venue rules and may be responsible for bringing their own table, chairs, and tablecloth (details TBD).

Submitting this form is a request for a table/vendor space at our event. We reserve the right to approve or deny participation. Thank you for your understanding and cooperation.
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Vendor Request Form