
The 14th Annual Central Ohio Senior Job Fair Sponsor/Recruiter/Exhibitor Participation Form
Fields marked with a * are required
Organization Name:	*
Contact Person:	*
Street Address:	*
City:	*
State:	*
Zip:	*
Phone Number:	*
Fax Number:
Email Address:	*
Participation Level:	Gold Level Sponsor (Contact me with details) Silver Level Sponsor (Contact me with details) Recruiter ($395 fee for purchased space) Exhibitor ($495 fee for purchased space) Tax-deductible Donation
Payment Method:	I will send a check Please send me an invoice I will pay online

Note: If mailing check, please print this completed form prior to submitting it, and mail it along with your check to: Employment For Seniors, Inc., Attn: Senior Job Fair, 4500 East Broad Street, Columbus, Ohio 43213.