Senior Fair Vendor Form 2025

Event Details:

Senator Dale Fowler, Representative Paul Jacobs and Representative Patrick Windhorst

Tuesday, September 23

Time of event 9am- 11am

The HUB Recreation Center

917 W Main St, Marion, IL 62959

1. Vendor Name/Organization:*

2. Email Address*

3. Mailing Address*

Street 1 Street 2 City State Zip

4. How many tables will you be needing the day of the event?*

5. How many chairs will you be needing the day of the event?*

6. Are you providing health screenings?* Yes
No

7. If you are providing a health screening, what are you providing?*

8. Will you need electricity?* Yes
No

10. Reply forms must be received by no later than Monday, September 15 to be a vendor in the 2025 Marion Senior Health Fair. Yes, I will attend this year
No, I will not be able to attend this year

9. Will you be bringing a door prize?* Yes
No