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Home
Services We Offer
Food & Nutrition Services
Caring Hearts Gift Shop
Message a Patient
MHS Rehab & Sports Medicine
Outpatient Services
Pulmonary Rehabilitation
Radiology & Imaging Services
Respiratory Care, Cardiac Rehab, and Sleep Studies
Senior Life Solutions®
Skilled Care Program
Surgical Services
Wound Center
MHS Affiliates
Frontier Estates
Heartland Health Care Clinic
Home Health & Hospice of Dickinson County
Impact Sports & Fitness
Village Manor
Memorial Health Foundation
Find a Provider
Patient Information
Patient Portal
Advance Directives
Billing and Insurance
Make a Payment
Hospital Charges & Price Estimator
Hospital Charges & Price Estimator
Understanding Healthcare Prices: A Consumer Guide (.pdf format)
Patient Rights, Responsibilities & Resolution of Concerns
Patient Visitation
Planning for a Procedure
Accommodations
Privacy Practices
Registration & Scheduling
RXInform
About Us
Our Mission, Vision, & Values
Board of Directors
Executive Team
Notice of Nondiscrimination
Terms & Conditions of Use
Contact Us
Volunteer Programs
MHS Volunteer Corps
Hospice of Dickinson County Volunteers
Community
Community Health Needs Assessment
Community Newsletter- The Health Monitor
Community Resources
Community – PFAC (Patient and Family Advisory Council)
Importance of Healthcare on Kansas Economies
CARING HEARTS VENDOR REGISTRATION
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Business Name
*
Name of Contact
*
First
Last
Phone
*
Email
*
Business Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
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State
Zip Code
all your If
Business Website and/or Social Media
Type of Products Sold (check all that apply)
*
Candles
Food Items
Boutique/Clothing
Crafts/Handmade Items
Other
Price Range of Products Sold (check all that apply)
*
Under $10
$10-$25
$25-$50
$50+
If other, please describe your products.
*
Select Days (vendor will have two days to sell - check all that are preferred)
*
June 2 & 3
June 3 & 4
June 9 & 10
June 10 & 11
June 16 & 17
June 17 & 18
June 23 & 24
June 24 & 25
June 30 & July 1
July 1 & July 2
July 7 & July 8
July 8 & July 9
July 14 & July 15
July 15 & July 16
July 21 & July 22
July 22 & July 23
July 28 & July 29
July 29 & July 30
Setup and Logistics (electricity required, approximate space needed, etc.)
Do you agree to the following? (check all that apply)
*
I will provide my own setup materials.
I will manage my own sales and payments.
My products comply with hospital guidelines.
I understand this is a hospital setting.
Do you carry liability insurance?
*
YES
NO
Can we promote your business on MHS social media pages?
*
YES
NO
How did you hear about this event?
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