Vendor Registration Form for ECU Health Mental Health Expo 2026

Vendor Registration Form for ECU Health Mental Health Expo 2026

Please fill out this form to register as a vendor for the 2026 Mental Health Expo and to ensure you have a table to set up your business display.
Business or Organization Name
Contact Person Full Name

First NameLast Name
Email Address
example@example.com
Office phone
Please enter a valid phone number.Format: (000) 000-0000.
Day-of contact number
Please enter a valid phone number.Format: (000) 000-0000.
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Have you paid your $100 deposit?
If you plan to mail a check, please let us know below so that we are aware that payment is on the way.
Type of Products or Services to Display
Special Requests or Comments
Should be Empty: