Welcome to the Hispanic Wellness Coalition - Online Registration Page

Read the Sponsorship/Exhibitor Details PDF before filling out this registration form.

Note: Discount pricing available. Vendor will receive a discount for signing up for both events at the same time (North Texas Wellness Fair and Carnaval de Salud).

Payment Deadline: Registration form and payment must be received no later than (60) days prior to the event date.

Select from the list of events below. All fields are required.

Vendor - Company Executive - Contact info

Company Name:
Company Executive Name:
Contact Phone:
Company Email:

Vendor - Representative in charge of booth - Contact info

Contact Name:
Address:
(Exhibitor packet will be mailed to this address.)
City:
Zip:
Work Phone:
Cell Phone:
Email:
Type of service being provided:

Vendor Level

North Texas Wellness Fair
Carnaval de Salud NTWF + CDS (Discounted)
Vendor Level (Other):

Booth Requirements

  NTWF CDS
Number of Bilingual (Spanish/English) Interpreters needed:
Number of Bilingual (Spanish/English) Volunteers needed:
Number of Staff manning booth entire day:
Number of breakfast tickets needed (based on registration level):
Will you require electricity or Wi-Fi internet?
Will you require a privacy booth?
(Privacy booths are provided for those who are providing screening or health services)
Additional booth space ($75.00):
NTWF Only: Additional breakfast tickets ($8.00 each):  
CDS Only: Additional lunch tickets ($10.00 each):  
Type of demonstrations:
Additional Demonstration Notes:
How long will demo be? What will you need to provide a demo?
Description of service to be listed in directory.

Advertising Information (North Texas Wellness Fair Only):

Directory Booklet Options:
1/8 page ad (2.25" w x 2.00" h)
1/4 page ad (2.25" w x 3.75" h)
1/2 page ad (4.75" w x 3.75" h)
All press ready artwork due 30 days prior to event.

Purchase CDS T-Shirts:

T-Shirts are provided for Volunteers. If you would like to purchase a T-shirt, please make selection and submit payment.
T-Shirts will be distributed at Exhibitor registration booth. We ask that Exhibitors NOT wear their T-Shirt during the event to avoid any confusion when identifying CDS Volunteers.

Small: $15.00 each
Medium: $15.00 each
Large: $15.00 each
XLarge: $15.00 each
2XLarge: $17.00 each
3XLarge: $17.00 each

Raffle Giveaways:

If you would like to donate items to be used as a raffle prize, please describe the items, quantity, value and designate which event they will be donated to:
Re-type security code to continue: 225869
 Late Fee $50.00