Embracing Wellness Community Expo Vendor Application

Organization Information

Organization Type

Business

Non-profit

Organization Name

Please note: This name will be used as your booth name and may appear on marketing materials and the event website.

Street Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Primary Contact Information

First Name

Last Name

Primary Contact Email

Primary Contact Phone Number

Vendor Giveaway or Raffle

In lieu of a vendor fee, all vendors are asked to either provide a giveaway item or host a raffle at their booth.

Please indicate which option you are selecting and describe the item(s) you will be providing:

Giveaway

Raffle

Description of giveaway or raffle item(s):

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