FCPI H&S Expo App

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The Fulton County Health & Safety Expo Presenter Application

If you would like to be a presenter at this years Health and Safety Expo, please complete and submit the form below. Feel free to call us at 1-888-329-2376 (toll free) with any questions. The Expo will be held at the Fulton County Fairgrounds on May 21, 2005 from 10:00 am - 2:00 pm, in conjunction with the Relay for Life.

Organization Name:	.
Contact Name:	.
Address:	.
Phone No.:	.
E-Mail address:	.
We are interested in:	In providing an activity and information about our organization. (Please forward a brief description of the activity you will provide. And any special needs / requests in the comments section below.) In providing a table with brochures / Educational materials. .
Tables:	We will provide our own tables. We will need tables. (Max 2) .
Chairs:	We will provide our own chairs. We will need chairs. (Max 5) .
Activity Description, Special needs, comments, other...