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2022 Fellowship Conference Vendor Registration Form
2022 Fellowship Conference Vendor Form
August 19-20, 2022 Red Lion Hotel Harrisburg Hershey | Harrisburg, PA
First Name
*
Last Name
*
Company
Street Address
*
City
*
State
*
Zip
*
Phone
*
Email
*
I will attend the conference
*
Yes
No
Meal Counts
Friday Dinner
Saturday Continental Breakfast
Saturday Luncheon
While meals are included in your registration fee, in order to provide accurate meal counts and not be wasteful, indicate which of the meal functions you plan to attend.
ADA Accomodations
List any accommodations you may need. CFoP will do its best to accommodate reasonable accommodation requests. A CFoP staff member may reach out to discuss options with you.
Dietary Restrictions
List any dietary restrictions you may have. CFoP will do its best to accommodate reasonable dietary restrictions and/or allergies when possible; however we are unable to accommodate dietary preferences. A CFoP staff member may reach out to you to discussion options with you.
Select the Vendor Opportunity
*
Platinum Sponsorship - $2,000
Gold Sponsorship - $1,000
Silver Sponsorship - $750
Bronze Sponsorship - $500
Coffee Break Sponsorship* - $250
Exhibit Table* - $250
*Does not include CE
2nd Representative for Platinum Sponsorship
Payment Options
*
I will fax my credit card information with a copy of my confirmation email. $50 will be added if sent after August 5, 2022.
I will mail a check payable to CFoP with a copy of my confirmation email. I will add $50 if postmark is after August 5, 2022.
Registration Date
MM slash DD slash YYYY
Balance Due
$0.00
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