REGISTRATION FORM

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Registration Fees

Members:

$80 for the first person

$70 for each additional person

Non-Members:

$150 per person

Sponsorship Fees

Members:

$125 per company
Non-Members:

$325 per company

Sponsorship includes your company logo on CSA's website and on digital or printed marketing materials.

If you have a question or issue you would like addressed during the program, please add it below.

Company

Street Address

City

State

Zip Code

Phone Number

Please register the following people for the CSA Industry Roundtable Meeting.

First Name

Last Name

Email Address

First Name

Last Name

Email Address

First Name

Last Name

Email address

First Name

Last Name

Email address

Registration Fees (Please add a number in the appropriate box.)

	CSA Member - First Attendee
	CSA Member - Number of Attendees More Than One
	Non-Member
	CSA Member Sponsor
	Non-Member Sponsor

Current Total:

$0.00