CCAA 36th Annual Conference 2011
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Registration Information

Please submit this Registration form and send applicable fees by Friday, October 21, 2011 (make check payable to California Consumer Affairs Association):

Michael Lafferty, CCAA Treasurer
P.O. Box 861112
Los Angeles, CA 90086
Email: Michael.Lafferty@dca.ca.gov

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Name

Name

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Title

Title

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Organization

Organization

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Contact information

Contact information Phone:
Fax:
Email:

Website:

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Address:

Address: Address:
Suite/ Room No.:
City:
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I plan to attend:

I plan to attend: Thursday Sessions

Thursday Lunch

Friday Sessions

Friday Lunch

Thursday night Social Reception (free to all attendees)

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Registration and 1-Year Membership Fees:

Registration and 1-Year Membership Fees: Conference Registration is "Free" with paid membership

Conference Registration Only $50.00:

1-Year CCAA Membership $35.00:

Students - No Charge

CCAA 36th Annual Conference 2011Exit this survey

Registration Information

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*Title

*Organization

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