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CCSA ANNUAL CONFERENCE VENDOR REGISTRATION FORM

Click here to download a mail in application, or fill out the form below to register online.

VENDOR SPACES INCLUDES:
(1) Six-Foot Table
Continental Breakfast
Entrance to Educational Program

ADDITIONAL REQUIREMENTS:

Electricity:

Door Prizes: be providing door prizes.
Wall:

Representative(s) Needing Badges

Locate Me next to:

Extra Lunch Tickets ( Cost is $ 40.00/ticket.) and the number of tickets

We wish to sponsor a Speaker or Event for the program($600).
Name of Speaker/Event
Please check one. SPEAKER EVENT

When you submit this form you will be directed to another page where you can make a payment.

For confirmation and space assignment, reservation deadline is July 11, 2009 Space will not be assigned or contract approved until fee is received. No verbal agreement(s) will be recognized. Only conditions printed or written on this contract will be accepted as binding by CCSA. I/We agree to abide by all requirements, restrictions and obligations mentioned.