Exhibitor

Provide Company Info

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Select Your Exhibitor Type

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Additional Services

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Mail Complete Form

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Door Prizes

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Company Name (as it will appear in all applicable publicity)*

Services Your Company Provides:*

Address *

City:*

State:*

Zip:*

A) Executive/Owner/Manager Contact Name *

Office Phone *

Cell Phone:

Email:*

B) Booth Contact Name (if different from above):

Work Phone:

Cell Phone:

Email:

Booth Contact Mailing Address (if different from above):

How did you hear about this event?

Have you been an exhibitor at Empowering Seniors or Senior Synergy before?

What Year(s)?

Date of Submission:

10 x 10 exhibitor booth space includes 2 box lunches; 6-foot table; ID sign; Two chairs; trash can; up to two (2) parking passes. Additional services, not covered under Exhibitor Fee, can be selected on the next screen.

Registration

$350 For-Profit

$160 Non-Profit*

*Non-Profit rate can only be selected by a 501(c)(3) organization.

ADDITIONAL SERVICES (not covered under Exhibitor Fee)

Additional Chairs

WiFi

Electricity

Additional Parking Passes x $12

Additional Lunch x $10

Please order your electricity here: Online Ordering - Edlen - Log into Online Ordering

How many chairs?

How many WiFi Basic/2 Devices X $25

How many WiFi High Speed/2 Devices X $40

Wifi Amount

How many parking passes?

Total Parking Charges

How many Box Lunches

Total Lunch Charges

Once your application has been processed, you will receive an invoice within a few days. If you have any questions, please give us a call at 817-248-6295 or email us at empoweringseniors@tarrantcountytx.gov

Exhibitor Amount

Additional Services Subtotal

Grand Total

Would you like to donate an item for the door prize drawing?*

Yes

NOTE: Door Prize must be minimum value of $40.00. Donated items maybe used for an activity, workshop, and/or a general door prize. Please contact raford2@tarrantcountytx.gov / 817-248-6295 by September 1, 2025 if you plan on donating in order to be acknowledged in the event program. Door prizes can be dropped off on exhibitor set-up day (October 1^st) at Will Rogers Memorial Center.

You will receive an invoice once your application is processed. Payment is due within 30 days of receipt of invoice to hold your reservation. Booth availability is limited, and priority may be given to promote a variety and balance of industries for the Expo. Refunds requested prior to 60 days of the event will be considered on a case-by-case basis. We are unable to allow exhibitors to give out nutritional supplements or organic/herbal samples.

Tarrant County Disclosure Statement

Please be aware that some or all of the information that you submit using this form is subject to public disclosure under the Texas Public Information Act. For an overview of this act, visit the Texas Attorney General's website.

Please note that Tarrant County employees are prohibited by law from providing legal advice. If you need legal assistance, call the Tarrant County Bar Association at 817-336-4101 or visit the Tarrant County Bar Association website.

I have read and understand the information above.

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