Vendor Registration Form 2023

Representative Ryan Mackenzie’s Senior Expo
Thursday, September 28, 2023
10:00 a.m. to 1:00 p.m.
Lower Macungie Community Center

Organization Name *

Contact Person *

Address *

City *

State *

Zip Code(5-Digit) *

Phone *

Email Address *

Website *

I will participate this year *

Yes
No

* One table and two chairs will be provided to each exhibitor *

PLEASE PROVIDE YOUR OWN TABLE CLOTHS

Does your exhibit require an electrical outlet? *

Yes
No

(PROVIDED ON A FIRST-COME FIRST-SERVED BASIS)

Will you have a door prize? *

Yes
No

NUMBER OF LUNCHES REQUIRED *

Please provide a brief description of your organization to be included in an exhibitor guide that will be distributed to participants. If we are unable to provide you a space at this year’s event, you may still send a description to be included in the program booklet *

Exhibitors will be chosen on a first-come, first-served basis.

If you have any additional questions, please contact Karin Janusewski at kjanusewski@pahousegop.com