Older Adults Skills Fair - Participant Registration Form

Please complete the form below to register to be a vendor in the "Putting Your Skills Back to Work" Older Adults Skills Fair on Thursday, July 10, from 2-4pm at the Henry A. Wallace Center in Hyde Park, hosted by Dutchess County Executive Sue Serino and the Dutchess County Office for the Aging.

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* 1. Company Name
Please enter your company name as it should appear on any printed materials for the event. No taglines or abbreviations, please.

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* 2. Contact Person

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* 3. Contact information

Business Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. Do you need access to an electrical outlet?

Yes

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* 5. Please specify any reasons you may need extra space around your table.

For questions, comments, or more information, please contact the County Executive's office at 845-486-2000 or email countyexec@dutchessny.gov

Send me a copy of my responses via email

Older Adults Skills Fair - Participant Registration Form

Question Title

* 1. Company NamePlease enter your company name as it should appear on any printed materials for the event. No taglines or abbreviations, please.

Question Title

* 2. Contact Person

Question Title

* 3. Contact information

Question Title

* 4. Do you need access to an electrical outlet?

Question Title

* 5. Please specify any reasons you may need extra space around your table.

* 1. Company Name
Please enter your company name as it should appear on any printed materials for the event. No taglines or abbreviations, please.