FLORIDA ASSOCIATION OF SCHOOL NURSES

PRESENTS THEIR

Sixteenth Annual FASN State Conference

February 4-5, 2011

Hilton Walt Disney World Resort
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, 2011.

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

Lunch Included?
Lunch cost is $15.00 per person

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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