The Senior Resource Guideinvites you to participate in a

SENIOR RESOURCE FAIR forSOCIAL WORKERS,

CASE MANAGERS, & DISCHARGE PLANNERS Wednesday, May 15, 2013

Slidell Memorial Hospital Founder’s Building

1150 Robert Blvd, Slidell5:00pm - 7:00pm (set-up at 4:30pm)

REGISTRATION FORM FOR VENDORS (Includes an Entry Fee of $50.00)

Today’s Date:       Contact Person:      

Company Name:      

Company Address:      

City:       State:       Zip:      

Business Phone:       Cell:       Fax:      

Email Address (required):      

Please bring the following:1. A Door Prize (Valued at $25.00 or more) 2. Food or Beverage - must be commercially prepared Plates/Napkins/Utensils will be provided.

Small Tray of Finger Sandwiches Cheese & Crackers Veggies & Dip Chicken Wings/Tenders with Sauce Mixed Salad (Green/Pasta/Potato) Fresh Fruit Tray 6-pack of Iced Soda, Juice, Tea, Lemonade or Water Dessert Other:      

3. Educational Materials for Attendees: Handouts on specific illnesses/treatments, brochures, etc.

Complete this Registration Form, make a copy for yourself, then mail it along with the $50.00 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. If you do hear from us

within a week, please call 504-828-6362 to confirm your reservation. Do not mail the check to our Denver office.

This event has been approved by N.A.S.W. to provide 1.5 CEUs to Social Workers. The goal of the resource fair is to offer the

attendees the most up-to-date, state-of-the-art information in your field. Plan on providing

educational data and feel free to include something unique about your services to the

elderly along with general information.