2. Please select an event that you'd like to register for:*

   1. Community Resource Fair, Monday, February 19, 10am-12Noon, Lakeside Community Center
4. Name of Organization*
5. Organization Type
7. Contact Name*
8. Position
10. Phone
11. Email*
13. Alternate Contact Name
14. Phone
15. Email
17. Address
19. City
20. State
21. Zip Code
23. Briefly describe your booth or display:*
25. What type of health screenings or other services will your booth provide?*
27. Equipment
29. SPAR will provide each vendor with 2 chairs. Do you need additional chairs?

    1. Yes

    1. No
30. Do you need extra space?

    1. Yes

    1. No
32. SPAR will provide you with one six-foot table. Do you need additional tables?

    1. Yes

    1. No
33. Will you provide an item for our raffle?

    1. Yes

    1. No
35. Do you need electricity? (SPAR will not be supplying extension cords or power strips. If needed, you must bring your own.)

    1. Yes

    1. No
36. Will you stay during the entire event?

    1. Yes

    1. No
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field