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RSVA 2023 SAGEBRUSH CONFERENCE FORM(IN PERSON OR VIRTUAL ATTENDEE REGISTRATION)Please complete the registration form below for the conference and email it either as an attachment or in the body of the email to rsva@randolph-sheppard.org or 1stvicepresident@randolph-sheppard.org Name: Mailing Address: CITY, STATE, ZIP: Home Phone: Work Phone: Cell Phone: Email address: Please place an X before the appropriate items below: First time participant: Yes No Do not share my contact information Do share my contact informationVendor Spouse Guest Speaker Administrator BEP staff Media Format:Large print Braille CD Email The following food events are included in your in-person registration. To assist the convention committee, please place an X before the events you plan to attend: Monday Noon Walk Walking to a Better Future Monday evening Welcome Reception Tuesday Breakfast Tuesday SLA/BEP Working Lunch (SLA staff only) Wednesday Breakfast Wednesday Exhibits Thursday Breakfast Thursday Luncheon Friday Breakfast Friday Special Golf Training Event You Don t Have to See It to Tee It In Person Registration fee: $200.00 In Person Registration Fee After January 1, 2023, $250.00 Virtual attendee Registration fee: $100.00 extra events and items with fees not covered in registration, please place an X before the events and items you wish to add to your registration. Thursday Evening RSVA Special Sagebrush networking event: $20 Vendorscope subscription/RSVA membership: $10.00 RSVA Life membership $200.00Individual Convention Sponsorships: Bronze $25 Silver $50 Gold $100 Platinum $250 Total: I d like the forms for applying for Continuing education credits.Please submit this form as an attachment or in the email body to rsva@randolph-sheppard.org or 1stvicepresident@randolph-sheppar |
