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Vendor Registration
ANNUAL SEMINAR, FEBRUARY 17th-19th, 2010
FEBRUARY 18TH, 3:00-5:00PM
Name of Company
Name of Contact
Company Address1
Company Address2
City
State
Zip
Company Telephone
Contact Telephone
Will you need electricity at your table ($25.00)?
Yes
No
Are you interested in sponsoring a
Lunch?
Break?
Will you be providing a door prize?
Yes
No
COSTS:
EXPO AFTERNOON, $295.00
ELECTRICITY, $25.00
LUNCH SPONSOR, $500.00
BREAK SPONSOR, $200.00
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