Home › Pharmaceutical Vendor Fair › Pharmaceutical Vendor Fair – Registration Pharmaceutical Vendor Fair – Registration Please complete the form below to register for our upcoming Pharmaceutical Vendor Fair. Pharmaceutical Vendor Fair Registration & Payment "*" indicates required fields Representative Name* First Last Company Name* Company/Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 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?*NoYesPayment Type*Paying with CardPaying with CheckPaying with ACH*Only two reps allowed per table. Pharmaceutical Vendor Fair Booth Registration Fee Price: Pharmaceutical Vendor Fair Booth Registration Fee**Includes credit card processing fees Price: TotalThank you for helping us in our mission of Supporting a Healthier Coast! If paying by check: Please make sure your check has accompanying details that include the date of the event and the company/rep name you are paying for and mail to: Singing River Foundation 3109 Bienville Blvd Ocean Springs, MS 39564If paying by ACH: Please email Laura.Sessum@mysrhs.com to receive the ACH payment details. Credit Card Cardholder Name Card Details CAPTCHA