CSA General Contractor Roundtable Discussion

Registration Form

General Contractor Roundtable Discussion and Reception

Wednesday, June 29, 2022 | 4:30 pm - 6:30 pm

Library Wine Bar & Bistro, 60 N Main Street, Wallingford, CT


Company	*	Address *
Phone	*	City * State * Zip Code*

Name # 1	*	Email # 1 *
Name # 2		Email # 2
Name # 3		Email # 3
Name # 4		Email # 4
Name # 5		Email # 5
Name # 6		Email # 6

FEES
Member Fees = $75.00 for the first person; $65 for each additional attendee
Non-Member Fee = $110.00 per person
Member Sponsor Fee = $100.00; Non-Member Sponsor Fee = $300.00

The total payment will automatically calculate below when you check the boxes with the number of attendees and sponsorship option.

# of Members		Member Total
# of Non-Members		Non-Member Total
Sponsor		Sponsor Total

TOTAL $

Payment Type	*	Master Card VISA American Express
First Name	*	Last Name * Email *
Credit Card #	*	Security #* Exp. Month * Exp. Year *



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