BOOTH REQUEST FORM

WAD Health Fair
Date: Wednesday, December 4, 2024
Time: 10:00AM-3:00PM. Arrive at 9AM to set up.
Location: MDC Wolfson Campus
300 NE Second Ave.
Miami, FL 33132
You will be provided 1 table and 2 chairs. Please advise if you need additional tables and chairs and we will try to accommodate and space is limited.
Please confirm your participation by November 1st 2024

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* 1. Organization Name 

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* 2. Contact Person

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* 3. Address

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* 4. E-mail

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* 5. Phone

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* 6. Please give a description of your services

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* 7. Number of staff attending

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* 8. Number of tables and chairs needed?

You will be provided 1 table and 2 chairs. Please advise if you need additional tables and chairs and we will try to accommodate and space is limited.

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