AUTUMN SENIOR EXPO VENDOR/SPONSOR REGISTRATION FORM

Aging resources for individuals & caregivers residing in or relocating to Southern Illinois.

House Icon

 

Registration Form

Vendor & Sponsor Table Reservation Information

Each table registration will include:

  • (1) 6 ft. table and (2) chairs
  • (2) lunches

If you require additional chairs or electricity, please call (618) 658-0719, to confirm availability as tables will be assigned on a first come, first served basis.

Please complete and submit the form below to register. I am participating as a (check one):(Required)
Vendor or Sponsor Name(Required)
Address(Required)
Email(Required)

VENDOR & SPONSOR TABLE RESERVATION — Includes (2) lunches per registration.

Price: $25.00
Price: $250.00
Price: $225.00
Price: $5.00
This field is for validation purposes and should be left unchanged.