Senator Brooks' Greenville Senior Expo

Friday, September 13, 2024 | 10:30 a.m. – 1:00 p.m.

Greenville Christian & Missionary Alliance Church
63 Conneaut Lake Road (across from the VFW)
Greenville, PA 16125

Greenville Senior Citizen Exhibitor Registration Form

This information is for the Program Booklet
Organization Name(Required)

Organization Address(Required)
Street Address Address Line 2 City State ZIP Code

Organization Phone Number - to be shared in the event directory(Required)
Exhibitor's Name(Required)

Exhibitor's Email (Used for Confirmation)(Required)
Enter Email Confirm Email

Exhibitor Space
The information below will help us determine your needs for your space.
Is your display higher than 3 feet when placed on a table?(Required)

Yes

No
Is electric required? (Limited availability)(Required)

Yes

No
Is this organization a non-profit (501c3) or governmental agency?(Required)

Yes

No
Please provide a summary below of services that your organization offers to the public. ***This summary will be used in the event directory that all attendees receive.(Required)
Comments
This field is for validation purposes and should be left unchanged.