Health Fair and Senior Expo

Friday, July 21
10 a.m. to 2 p.m.
Hickory VFW
5550 E State St.
Hermitage, PA 16148

Vendors will be there to provide information about programs and services for senior citizens. All vendors interested in attending please fill out the form below to register for the event.

Organization Name *

Representative(s) Attending *

Phone *

Address *

City *

State *

Zip Code(5-Digit) *

Email Address *

Leaving this box checked verifies that you would like to receive legislative email updates.

Service/Tests/Info you will be offering (ex: blood pressure, hearing tests, flu shots, etc.) *

Please describe any raffles/giveaways you will be having at your table *

Please write 1—2 sentences about your company for the program: *

Do you require electrical outlets? *

Yes
No

Will you be donating a door prize? *

Yes
No