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The Senior Resource Guide
     invites you to participate in a
    SENIOR RESOURCE FAIR for
 SOCIAL WORKERS, CASE MANAGERS, &
        DISCHARGE PLANNERS
     This event has been approved by
   N.A.S.W. to provide 1.5 CEUs to Social
                                                       Wednesday, June 27, 2012
   Workers. (CEUs pending for Case Mgrs)                East Jefferson General Hospital
      The goal of the resource fair is to offer the
                                                        Conference Center
   attendees the most up-to-date, state-of-the-art
     information in your field. Plan on providing
                                                        Esplanade Rooms I, II, III
       educational data and feel free to include        4200 Houma Blvd, Metairie, LA
    something unique about your services to the
        elderly along with general information.         5:00pm - 7:00pm (set-up at 4:30pm)
REGISTRATION FORM FOR VENDORS (Includes an Entry Fee of $40.00)

Today’s Date: _______________ Company Name: ___________________________________
Contact Person: ________________________________________________________________
Address: _____________________________________________________________________
City/State: ____________________________________________ Zip: ____________________
Phone: __________________________________ Fax: _________________________________
Email Address: ________________________________________________________________
Please bring the following:
1. A Door Prize (Valued at $25.00 or more)
2. Food or Beverage (Check ONE):                                Plates/Napkins/Utensils will be provided.
       □        Small Tray of Finger Sandwiches                 □      Cheese & Crackers
       □        Veggies & Dip                                   □      Chicken Wings/Tenders with Sauce
       □        6-Pack of Iced Soda Pop, Juice, Tea, Lemonade or Water (Circle One)
       □        Mixed Salad (Green/Pasta/Potato)                □      Other_______________________________

3. Educational Materials for Attendees (e.g. Handouts on specific illnesses/treatments, etc.)

   Complete the attached Registration Form and mail it along with the $40.00 Entry Fee to:
         Senior Resource Guide of LA, LLC, 1412 Sigur Avenue, Metairie, LA 70005
                          (Make checks payable to the Senior Resource Guide of LA, LLC)
                 We will confirm receipt of your Registration Form and Entry Fee by phone and/or email.

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Ejgh Resource Fair Vendor Registration Form 2012

  • 1. The Senior Resource Guide invites you to participate in a SENIOR RESOURCE FAIR for SOCIAL WORKERS, CASE MANAGERS, & DISCHARGE PLANNERS This event has been approved by N.A.S.W. to provide 1.5 CEUs to Social Wednesday, June 27, 2012 Workers. (CEUs pending for Case Mgrs) East Jefferson General Hospital The goal of the resource fair is to offer the Conference Center attendees the most up-to-date, state-of-the-art information in your field. Plan on providing Esplanade Rooms I, II, III educational data and feel free to include 4200 Houma Blvd, Metairie, LA something unique about your services to the elderly along with general information. 5:00pm - 7:00pm (set-up at 4:30pm) REGISTRATION FORM FOR VENDORS (Includes an Entry Fee of $40.00) Today’s Date: _______________ Company Name: ___________________________________ Contact Person: ________________________________________________________________ Address: _____________________________________________________________________ City/State: ____________________________________________ Zip: ____________________ Phone: __________________________________ Fax: _________________________________ Email Address: ________________________________________________________________ Please bring the following: 1. A Door Prize (Valued at $25.00 or more) 2. Food or Beverage (Check ONE): Plates/Napkins/Utensils will be provided. □ Small Tray of Finger Sandwiches □ Cheese & Crackers □ Veggies & Dip □ Chicken Wings/Tenders with Sauce □ 6-Pack of Iced Soda Pop, Juice, Tea, Lemonade or Water (Circle One) □ Mixed Salad (Green/Pasta/Potato) □ Other_______________________________ 3. Educational Materials for Attendees (e.g. Handouts on specific illnesses/treatments, etc.) Complete the attached Registration Form and mail it along with the $40.00 Entry Fee to: Senior Resource Guide of LA, LLC, 1412 Sigur Avenue, Metairie, LA 70005 (Make checks payable to the Senior Resource Guide of LA, LLC) We will confirm receipt of your Registration Form and Entry Fee by phone and/or email.