Health Expo Checklist / Vendor Agreement
Submit your Health Expo Booth Registration by using this process
ON-SITE Booth Information
Please FILL in all fields - Information forwarded to Modern Display
Account Executuve:
Contact Name:
Contact Email:
Contact Phone:
Company Name:
Company Email:
Company Phone:
Booth Size:
Adjoining Booth Size:
(if applicable)
Booth Number(s):
Providing Taste Samples?
Yes No
Note: NO Homemade Taste Samples Allowed!
Selling Anything?
Yes No (if Yes, must have valid Tax ID)
Free Screenings Provided: (at your booth - please describe)
Program Guide and Web Information
Information needed for show's Program Guide AND KUTV.com's Health Expo web page
Company Name:
Website URL:
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