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 CASN 2019 Fall Conference Exhibitors Registrations
CASN 2019 Fall Conference Vendor Registrations
Sunday, November 03, 2019 at 7:00 AM
Embassy Suites Loveland, CO
4705 Clydesdale Parkway, Loveland, Colorado, 80538

Please fill out the form below to complete your registration online.

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Fields with an * are required.
*Attendee's First Name :
*Attendee's Last Name:
*State: (ignore for non-US transactions)
*Zip Code:
*Country (if not US):
*Email Address:
*Confirm Email Address:
Number of Nonprofit status (1 table/meals for one $150.00) - at $150.00:
Number of Nonprofit status (2 tables/meals for one $200.00) - at $200.00:
Number of Other Exhibitors (1 table/meals for one $300.00) - at $300.00:
Number of Other Exhibitors (2 tables/meals for one $375.00) - at $375.00:
Number of Number of Additional meals ($50.00 per person) - at $50.00:
Number of Internet Access - at $55.00:
Number of # Electrical ($65.00 per hook up) - at $65.00:
Your order total:

Credit Card Billing Address
If the address where you receive the credit card bill is different than above, please enter it here.

Zip Code:
You will be asked to enter your guest names (if any) and answer any questions (if there are any), such as meal choices on the next page.
Credit Card  
For card readers, please put the cursor here:
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value: What is CVV?
Yes, the organization sponsoring this event may contact me.

Refund Policy: NO REFUNDS AFTER OCTOBER 25, 2019

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