RSVA ®

Randolph-Sheppard
Vendors of America^®

Blind Businessmen and Businesswomen
Building a Better America

Member of

SAGEBRUSH

RSVA^®

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The RSVA^® 2020 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 Share Do NOT Share "Do 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 SLA/BEP Working Lunch in President's suite (SLA staff only) Wednesday Breakfast Wednesday Exhibits Thursday Breakfast Thursday Luncheon Friday Breakfast

Standard Registration Early Registration Fee is $200 online or by mail. Registration Fee after January 1, 2020, is $250 online and at the conference.
Today is 04/19/2024	Registration Amount Today is	$250
Other events and items not covered in registration fee.
Become Lifetime Member, $200	$200
Become RSVA^® member and receive Vendorscope: $10.00	$10
Thursday Evening RSVA^® Networking Mixer: $20.00	$20
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, 2020

Registration Fee:
After January 1, 2020 - $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^®
940 Parc Helene Drive Marrero, LA 70072
Email: rsva@randolph-sheppard.org Website: www.randolph-sheppard.org

The RSVA® 2020 SAGEBRUSH CONFERENCE REGISTRATION FORM

The RSVA^® 2020 SAGEBRUSH
CONFERENCE REGISTRATION FORM