Form Center

2. 2026 Healthy Aging Expo Vendor Application and Contract

   Reservation Deadline: April 30, 2026 (space permitting)
   Deadline for inclusion in the Senior Connection Expo issue: April 17, 2026

   Booth assignments are made on a first-come, first-served basis as contracts and payments are received. 

4. Company/Organization Name*
6. Contact Name*
7. Phone*
9. Address
11. City
12. State
13. Zip
15. Email
16. Nonprofit Federal ID # (if applicable)
18. Brief description of products and/or services to be exhibited:
22. Exhibitor Options (choose only 1)

    1. Exhibitor Package ($75.00)

    - 1 six-foot table with chairs and table covering
    - Listing in the event Passport
    - Business card-sized ad in the May/June Senior Connection newsletter
    - Light refreshments in the Hospitality Room

23. .

    1. Nonprofit Package (First Come, First Served)

    - 1 three-foot undraped table and 2 chairs
    - Light refreshments in the Hospitality Room

25. Electrical Access

    1. YES, I need electrical access.
26. Will you be providing a door prize?*

    1. Yes

    1. No
30. Payment Information
    • Payment Methods: Cash or check only.
    • Make checks payable to: “Leon Mann, Jr. Enrichment Center”
    • Mail or deliver payment to: Leon Mann, Jr. Enrichment Center, 3820 Galantis Drive, Morehead City, NC 28557
32. Name*
33. Date
    Date
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field