Bucks County Senior Expo Exhibitor Registration Form

Thursday, October 17, 2024 | 10 a.m. – 12 p.m.

Upper Bucks County Technical School
3115 Ridge Rd.
Perkasie, PA 18944

Registration deadline: Sept. 13

Bucks Senior Expo Registration Form

Organization Name(Required)

(For Program Booklet)
Name of Person Attending:(Required)
Name

Primary Contact Email (This email is used only to communicate with attending exhibitors and is not publicized.)(Required)
Enter Email Confirm Email

Organization Mailing Address (Please list as you wish to appear in program distributed to attendees)(Required)
Street Address Address Line 2 City State ZIP Code

Organization Phone (Please list as you wish to appear in program distributed to attendees)(Required)
(For Program Booklet)
Organization Description (Please provide a short description for inclusion within the program distributed to attendees.)(Required)
Please limit responses to 350 characters or less
Exhibitor Space
The information below will help us determine your needs for your space.
If you require more than one chair that is provided, how many total chairs do you need?(Required)

Please tell us how many chairs you need for your exhibit, 2 are provided, if you need 4, please tell us 4.
Please tell us if you need a tablecloth for your exhibit(Required)

Yes

No
My exhibit, when placed upon a table, is higher than 3 feet(Required)

Yes

No
Check One - I/We will require an electrical outlet.(Required)

Yes

No
Check One - This organization is a non-profit (501c3) or governmental agency(Required)

Yes

No
I/We will be providing a healthcare screening.

Yes

No
If Yes, describe health screening.

Phone
This field is for validation purposes and should be left unchanged.

Thursday, October 17, 2024 | 10 a.m. – 12 p.m.

Upper Bucks County Technical School 3115 Ridge Rd. Perkasie, PA 18944

Bucks Senior Expo Registration Form

Exhibitor Space

Upper Bucks County Technical School
3115 Ridge Rd.
Perkasie, PA 18944