Register to Exhibit at the Senior Expo Please use the below form to register for the Senior Expo AND pay online with a credit card. First Name *Last Name *Business Name *Address *Phone *Email Address *Membership Status *LVAIP MemberLVAIP Non-Profit OrganizationLVAIP Non-MemberCommentsWill you be performing screening or testing? If yes, please list so that we can promote to the public.I have read and accept the rules and regs shown on this page *I acceptRules LinkExhibitorLVAIP Members - 350.00 USDCommunity Based Organizations (see who qualifies on right) - 200.00 USDLVAIP Non-Members - 450.00 USDElectricity?No Electric - 0.00 USDElectric - 25.00 USDCorner Booth? Limited AvailabilityNo Corner Booth - 0.00Corner Booth 50.00 USDCalculationsSubmitPlease do not fill in this field.