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Health Fair Response Form

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LeTourneau University Health Fair Response Form
Wednesday October 7, 2015  8:00am-12:00pm

Contact: Health Services Department
LeTourneau University
P.O. Box 7001
Longview, TX 75607-7001
903-233-4445


 
Company:*
Address:*
Phone:*
Fax:
E-mail:*
Website address:
Name/title of person responding:*
Number of representatives attending:*
When will you set up:*
Tuesday 3-6pm
Wednesday am
Will you need an electrical outlet?*
Yes
No
Size of Booth:*
Standard 12'x6' with 8' table
Give details on extra space needed:
Service / Topics you will provide:*
Additional Requests:

This year's entry fee is $25.  Payment should be sent to the address listed at the top of this page.



 All fields marked with an asterisk (*) are required.
   
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