Vendor/Partner Registration

Click Print to print a blank form to manually fill out to fax or to mail. PRINT
(Fax and Mail to information on printed out form)

Or you can fill out the Information below and click on the Submit button to send it electronically.

Please select the following:

I would like to be a participant in this year's Expo.

Inside Booth Outside Static Display

Will you need access to an outlet for power? Electrical cords will not be provided.

Please select your space needs:
$25 Donation per Table(Unless you are a partner, then it is included)
Checks made payable to Polk County BoCC.
County/City/Non Profits, No Charge

Mail Payments To:
Polk County Emergency Management Division
Hurricane Expo
1295 Brice Blvd. Bartow, FL 33830

Partner Category(Optional):

# of Tables:

# of Chairs:

Setup Times:

Setup will be done on a first come first serve basis.

Friday, June 4th from 1:00p.m. to 5:00p.m. (Doors will be locked at 6pm)
Saturday, June 5th from 7:00a.m. to 8:00a.m.

ORGANIZATION:

DESCRIPTION OF SERVICES:

ADDRESS:

PHONE:

EMAIL:

PRINT NAME: TITLE:

Click Submit to send the information above electronically.