Exhibitor/Sponsor Brochure and the Registration

Mark your calendars for Friday, May 11, 2018 to Exhibit at the Space Coast Health & Wellness Expo located at the Posey Center in the Brevard County Health Department in Viera from 9 a.m. – 2 p.m.

Exhibitor Space is $125. You may register online by filling out the form below.

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Click Here to Download DGF W9

The Doctors Goodwill Foundation’s Tax ID# 200716768

Registration For Exhibitors and Sponsors

Name*
First Last
Name
Email*
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of DGF Rep
Sponsor Category*
Sponsor Amount*
Payment Method:
- Check sent
- Pay by credit card
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Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Payments – Please make checks payable to

Doctors’ Goodwill Foundation

Tax ID# 200716768

Mail to:

P.O. Box 909

Titusville, FL 32781