Rep. Scheuren’s 2025 Senior Living EXPO Vendor Registration

Thursday, September 18, 2025
10 a.m. to 1 p.m.
New Hanover Volunteer Fire & Rescue Services

2154 Swamp Pike

Gilbertsville, PA 19525
(Vendors Only need to complete the form below.)

Organization/Company Name

Provide a short description of your organization

Contact Person First Name

Contact Person Last Name

Phone

Email Address

Company Street Address

City

State

Zip Code(5-Digit)

Do you require access to electricity?

Will you please provide a door prize/gift card for senior attendees?

Can you provide a free health screening or demonstration?

Type of screening?

Additional questions/needs?

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