Retailer Pre-Registration Choose one of the following* Yes, my business is a SENPA MEMBER - FREE entrance to all functions(FULL ACCESS) I am paying retailer membership dues with this registration $149 for SENPA membership(FULL ACCESS) Check here if this is your first time attending SOHO Healthfest (registration must be received by 4/3/2026). Retail Business Information Proof of business may be required.Store Name:*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Fax:Email:* *requiredStaff Members Enter In Your Staff (including yourself) Information - Click add entry to enter your staff member information. Name Badge Access Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Special Services Check here if an attendee requires special accommodations to fully participate. Please describe their needs and their name below: Special Services Description3% Processing Fee: Price: $0.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name Choose one of the following* Yes, my business is a SENPA MEMBER - FREE entrance to all functions(FULL ACCESS) I am paying retailer membership dues with this registration $149 for SENPA membership(FULL ACCESS) Check here if this is your first time attending SOHO Healthfest (registration must be received by 4/3/2026). Retail Business Information Proof of business may be required.Store Name:*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Fax:Email:* *requiredStaff Members Enter In Your Staff (including yourself) Information - Click add entry to enter your staff member information. Name Badge Access Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Special Services Check here if an attendee requires special accommodations to fully participate. Please describe their needs and their name below: Special Services Description3% Processing Fee: Price: $0.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name
