1. Provide Your Contact Information
First Name
*
MI
Last Name
*
Street Address
*
City
*
State
Zip/Postal Code
Email
*
Invalid Email
Confirm Email
*
Invalid Email
Daytime Phone
*
Invalid phone number format. Should be (000) 000-0000
Evening Phone
Invalid phone number format. Should be (000) 000-0000
Job Title (if applicable)
Organization Name (if applicable)
Organizational Mission (if applicable)!
Exhibitor Description
Website
Type
Nonprofit
Business
Government
Student
2. Describe Your Health Education Topic
Are you a new exhibitor?
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Yes
No
How many tables will you need?
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Will you need electricity for your exhibit?
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Yes
No
Please support AHF - pledge a donation below. Your donation helps cover event costs and staff time. Big thanks!
*
$50
$100
$250
$500
Other
None
If you selected 'other.' Please specify amount.
*
AHF invites Exhibitors to educate a particular health or safety message. Please describe the wellness/health/safety focus of your exhibit. Please provide details.
*
Special approval and arrangements are necessary for specialized screenings. Are you going to offer any specialized screenings, such as skin cancer, immunizations, glaucoma, hormone levels, BMI, spine, other? If yes, please provide details below. AHF has protocols developed for some screenings. AHF representative will contact specialized screeners with additional information.
Do you speak a language other than English?
3. Pick Your Fairs
Fairs grouped by service area, chronological order.
Exhibitor Standards Agreement
Please use this space to share any other thoughts/comments.
Electronic Signature: You acknowledge that the information you provided is correct and you agree to the terms of the Standards Agreement. Print your name and today's date below:
Please print this form for your records.
You will receive a confirmation two weeks in advance of the event(s). Should you need to cancel, please notify us right away so that we can find another exhibitor. Thank you!
SUBMIT