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Registrant Information

* Fields marked with an asterisk are required.

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Kiosque Options

Number of tables *Required
Electricity required *Required

Terms and Conditions

I have read and reviewed the Health and Wellness Day Terms and Conditions *Required
I have read a reviewed D.E. Systems' Terms and Conditions *Required

Setup time will be either on October 18th 2019 from 4:00pm to 8:00pm or October 19th 2019 from 8:00am to 9:30am