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

* Name

* Title

* Organization

* Contact information

* Website:

* Address:

* I plan to attend:

* Registration and 1-Year Membership Fees: