(Scroll down for Registration Form)

DATE: Saturday, June 19, 2010, 8:30 am– 2:00 pm
Set up for Health Fair begins at 8:00 a.m.)
LOCATION: Americana Community Center (map)

FEES: (A table, tablecloth, 2 chairs and lunch for staff at the event is provided to all our exhibitors. No other paperwork, other than this form, is necessary.)

Business/For Profit $150
Not for Profit $50

(There are a limited number of reduced rates for not for profits who cannot afford the not for profit fee. Contact the chairperson for further information.)

Make check payable to: Hispanic/Latino Coalition, and mail to:

Hispanic/Latino Coalition
c/o Americana Community Center
4801 Southside Drive, Louisville, KY 40214

*Federal Tax ID provided upon request.

When registering online, please print a copy of this form to include with your check.

  1. To register as an Exhibitor, please select one:
  3. (required)
  4. (required)
  5. (valid email required)
  8. Please Select Items Needed
 

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