FLORIDA ASSOCIATION OF SCHOOL NURSES

PRESENTS THEIR

Seventeenth Annual FASN State Conference

February 3-4, 2012

Rosen Plaza
Orlando, Florida

Please feel free to use this online form to Apply to be a Conference Vendor or download the form and mail it to:

Mary Jackman
PO Box 62
Placida, FL. 33946

Applications & payment must be received by January 20, 2012.

Vendor Application

Vendor Table(s)
Company
Contact Person
Street Address
City, State, Zip
Telephone Fax
 
E-Mail Address
Products to be Exhibited
Electrical Cord(s) Needed? YesNo
Door Prize(s)? YesNo
Sponsor a Luncheon or a Break? YesNo

Additional Lunches may be purchased at the time of the event

Comments

 

After clicking Submit, you will be taken to our payment page
Payment may be made by Credit Card or Bank Account, through Paypal™ SECURE
Completion of electronic payment will be considered an electronic signature.

If you would rather mail in your Application, please download it here, and mail to:

Mary Jackman
PO Box 62
Placida, FL. 33946

Telephone: work 941-697-6600, Ext. 1 
                  home 941-662-6000

Questions or Problems, please email Vendor@FASN.net
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