VENDOR Registration Form

Westmoreland Drug and Alcohol Prevention Conference
October 1, 2021
8:30 AM to 3:00 PM
Westmoreland County Community College-Student Achievement Center

Vendor Registration is $25.

This includes table set-up and lunch.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Contact Number

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* 5. How many people will be working at your table? (Please note, this number will be used for lunch count.)

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* 6. Are you a CSAY member or Presenter at the Conference?

Yes

No

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* 7. Name of your business, organization or agency