CVCSI Program Invoice 9-21-10
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First Name
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Last Name
Title
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Organization
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Address 1
Address 2
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City
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State
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Postal Code
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Business Phone
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Email Address
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Program fee covers facility rental, and dinner costs.
Program only fee does not include dinner or dessert!
CSI Member - $35.00
Non-Member - $45.00
Program Only - $16.00
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Date of meeting that this applies to if you were billed:
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Indicates Response Required