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Randolph-Sheppard
Vendors of America®


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SAGEBRUSH


RSVA®

RESOURCES

 



The RSVA® 2019 SAGEBRUSH
CONFERENCE REGISTRATION FORM

Name:
Mailing Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
E-mail:

Are you a First Time participant? Please select Yes or No. YES No

Select if you do wish to share or not share your contact information with other participants, exhibitors and sponsors. Do NOT Share    Do Share
"Do Not Share" is the default
Check all boxes that apply if you are: a Vendor a Spouse a Guest
Speaker BEP-Staff Administrator Other
Check if you prefer Media Format: Large Print Braille CD Email
The following food events are included in your registration.
To assist the convention committee, please check the events you plan to attend.

Monday Evening Welcome Reception
Tuesday Breakfast
Tuesday state BEP directors lunch in President's suite
Wednesday Breakfast
Wednesday Exhibits
Thursday Breakfast
Thursday Luncheon
Friday Breakfast

Standard Registration

Early Registration Fee prior to December 31, 2018, is $200 online or by mail.

Registration Fee after January 1, 2019, is $250 online and at the conference.

 

Registration Amount Today is 200

 

200

Other events and items not covered in registration fee.
Thursday Evening 50th Anniversary Reception: $20.00 Click Checkbox if Yes, $20  20
Vendorscope subscription and RSVA® membership: $10.00 Click Checkbox if Yes, $10  10
Lifetime membership: $200.00 Click Checkbox if Yes, $200  200
RSVA® 50th Anniversary T-Shirt: $15.00 Click Checkbox if Yes, $15     Quantity
Sizes (S M L XL XXL)   
15 x Quantity
RSVA® 50th Anniversary Polo Shirt: $25.00 Click Checkbox if Yes, $25     Quantity
Sizes (S M L XL XXL)   
25 x Quantity
Individual convention sponsorships: Bronze  $25
Silver $50
Gold $100
Platinum $250
25
50
100
250
Donation Amount: Enter amount as a whole number only;
No decimals and no dollar signs.

NOTICE TO ALL PARTICIPANTS:
 A valid registration badge will be required to enter any convention function.
Sorry, we are unable to give refunds after January 1, 2019

Registration Fee:
After January 1, 2019 - $250


Registration will not be complete without payment.

  

For further information, you may contact RSVA® Ardis Bazyn at (818) 238-9321
or e-mail: rsva@randolph-sheppard.org.



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Randolph Sheppard Vendors of America
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