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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?*
*Only two reps allowed per table.
June 13, 2022 Booth Registration Fee*
Price:
Payment Type*
Total
If paying with a card, once you click "Submit," you will be directed to the Singing River Health System PayPal page to submit payment for your Pharmaceutical Vendor Fair Registration. Payments by check should be sent to: Singing River Foundation 3109 Bienville Blvd Ocean Springs, MS 39564 Thank you for helping us in our mission of Supporting a Healthier Coast!
$0.00
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