2019 Provider Registration

Please enter your contact information
and up to 4 Service Locations, especially in Pierce, King, Thurston and Kitsap Counties.

This form can be repeated if you have more than 4 locations.

Once this form is completed you will be directed to PayPal for the registration fee of $100 per table.

Some VSO's and small nonprofits may contact us
by email to request a waiver of the fee after completing this registration.
After we review your registration, you should receive an email to confirm your space and payment.



Catagory - Type of Agency/Organization: * (Select one)


Area(s) of Service: *

Pierce County
King County
Kitsap County
Thurston County
Statewide
Nationwide



Agency / Organization: *



Contact Person: *

Direct Phone: *

Direct Email: *

Website URL:


Accommodations Requested for the Veterans Resource Fair:



Power outlet ( IF available )

For any special accomodation requests, please contact us by email at Contact@veteransresourcefair.org

Service Locations

If you have more than 4 locations in our main service areas,
please repeat this form to include them


Main Address:
Address 2:
City:   State:   Zip:
Phone:

Address:
Address 2:
City:   State:   Zip:
Phone:

Address:
Address 2:
City:   State:   Zip:
Phone:

Address:
Address 2:
City:   State:   Zip:
Phone:





                   


* Required to register as a provider in the Veterans Resource Fair.