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Pharmaceutical Vendor Fair – Registration

Please complete the form below to register for our upcoming Pharmaceutical Vendor Fair.

Representative Name*
First Last
Company Name*
Company/Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Representative Phone*
Representative Email*
How would you like your booth/company to be listed?*
Please let us know exactly how you want your company’s name listed/included on signage, flyers, and other communications.
Will you need an electrical outlet for your table?*
Payment Type*
*Only two reps allowed per table.
June 13, 2022 Booth Registration Fee*
Price:
June 13, 2022 Booth Registration Fee*
Price:
Total
Thank you for helping us in our mission of Supporting a Healthier Coast!
$0.00
Payments by check should be sent to: Singing River Foundation 3109 Bienville Blvd Ocean Springs, MS 39564

Credit Card*

Cardholder Name

Card Details