THE ARC SUSQUEHANNA VALLEY
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Self Determination Award Winners 2005-2022
If you would like to have a vendor table at the event, please fill out the form below
June 4, 2019
Doors open at 4 p.m. for info booth setup
Location TBD
self determination banquet vendor Sign-up Form
Fill out and submit this computer form or call 570-286-1008 to register
There is no cost to be a vendor, but, dinner is $20 per person for vendor attendees
*
Indicates required field
Your name
*
First
Last
Vendor organization
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
What services and/or products will you be offering?
*
A limited number of 6 foot tables are available. Please check if you need one
*
I need a table
I DO NOT need a table
Names of others attending with your group
*
By clicking submit for any of The Arc, Susquehanna Valley events, I grant its representatives and employees the right to take photographs of me and my property. I authorize this organization, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Arc, Susquehanna Valley may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertisement and web content
Submit
Home
Support The Arc!
Fundraisers
Arc Angels
Restaurant Promotions
Scrip Gift Cards
>
Pay for Gift Cards
Make A Donation
Shop Amazon
About
Board
>
Fundraising Volunteer Form
Membership
Special Payment Form
Employment Opportunities
Events Calendar
Beach Trip Information
Community Learning Institute
My Fish Friend
Contact
Programs & Services
Personal & Family Support (waiver)
>
Waiver How To
DREAM - Self Advocates
At Work - Self Advocates
Community Learning Institute Nights - Self Advocates
Learning Institute 1 on 1 - Self Advocates
AMPES
STEP
BRIDGE
>
BRIDGE to Work Registration
Rep Payee
Social & Recreation
Self Determination Award Winners 2005-2022