Your browser does not support JavaScript!
This form cannot automatically check that you have submitted all of the required fields without JavaScript.
Please be sure to submit all required fields (marked with stars).

Stamford Memorial Hospital

Stamford Healthcare System Health Fair Vendor Registration

Reserve Your Space Now! The Annual Health Fair for Stamford Healthcare System will be held on Wednesday, November 7th, 2018 from 12:00 p.m. to 4:30 p.m. at Stamford Family Health Center (formerly Stamford Memorial Hospital). Please note a table and 2 chairs will be provided for each vendor. Vendor registration is free, however space is limited.
The event is free and open to the public and will feature free health screenings as well as vendor giveaways, demonstrations, food trucks, and door prizes. For more information about the Health Fair, please contact Cheyenne Bereuter at 325-773-4736 or via email at cbereuter@stamfordhosp.com.
To reserve your space, please fill out the information below and return to us by Friday, October 12, 2018.
* Organization / Business Name
* Address
* Business Phone Number
* Email Address
* Contact Person
Name of the person to contact.
* Contact Phone Number
* Type of service/screening/information you will be offering
* Will you need power source? Yes     No    
* Are you bringing any giveaways (and if so, what type)?
* Will you be able to donate a door prize? Yes     No