2011 PSRC Conference in the Capital Vendor Registration
Please complete this form to register as a corporate sponsor for the above named event. Please NOTE that punctuation will not be accepted in this form.
1. Name of RC School / Program
2. Team Name (can be changed later if needed)
3. Team Member 1 (Captain) - Name
4. Team Member 1 - Email Address
5. Team Member 2 - Name
6. Team Member 2 - Email Address
7. Team Member 3 - Name
8. Team Member 3 - Email Address
9. Team Alternate (optional) - Name
10. Team Alternate (optional) - Email Address
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