Misericordia Health Centre Foundation
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Back to Health & Wellness Event page

    Health & Wellness Symposium- Vendor Application Form

    Thank you for your interest in our Wellness Event, where proceeds from your sponsorship will go to support our special new PRIME program at Misericordia Health Centre. 
    Please fill out this form and submit below, we will then email you an invoice.  Thank you for supporting healthcare in your community!
    Have questions about this form or event?  Call us!
    Vernelle Mirosh, 
    Manager of Partnerships and Special Events
    vmirosh@misericordia.mb.ca
    (204) 788-8469
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    Vendor Information

    Name of your business. If unavailable, just put your own name
    How would you like us to contact you?

    Address


    We will send you an invoice- what is your preferred payment method?
    Do you have any special requests or additional information?
    Max file size: 20MB
    We will use your logo in event marketing materials, including our event website, where we will also include a link to your website
    Cost to be a vendor is $750, with all proceeds going towards the PRIME program, supporting healthy aging in our community- thank you so much for your support and participation!
Submit

Mailing Address

Misericordia Health Centre Foundation

99 Cornish Avenue
Winnipeg, Manitoba
R3C 1A2 Canada
Tel: 204-788-8458
Fax: 204-774-0766
Email:

mhcfoundation@misericordia.mb.ca
Charitable Registration Number: 11904 2174 RR0001


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