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Each Attendee Name,
Title

Badge First Name

E-mail Address

Dealer Member
$917

Dealer Non-Member
$1,117

Non-Exhibiting
Associate Member
$917

Non-Exhibiting
Industry Personnel
$1,117

RVDA International Convention/Expo - Registration

2009 RV Dealers International Convention/Expo Registration Oct. 6 - Oct. 9

AFTER COMPLETING THIS FORM, SUBMIT ELECTRONICALLY

RVDA of America – 3930 University Drive
Fairfax, VA 22030-2515
Phone: (703) 591-7130
Fax: (703) 359-0152
RVDA of Canada –
204-6411 Buswell St.
Richmond, BC V6Y 2G5
Canada
Phone: (604) 718-6325
Fax: (604) 204-0154

^* represents a required field.

Name^*

Company Name^*

Address^*

City^*

State^* Zip^*

Area Code/Phone^*

Area Code/Fax

E-mail Address^*
This will be used to email a receipt to online registrants.

Attendees

Rate Chart		Regular
Dealers

RVDA Member 1st registrant		$917
RVDA Member Additional Registrants		$917
Non-Member		$1,117
Non-Exhibiting Associate Members		$917
Non-Exhibiting Industry Personnel		$1,117
Register Today!

TOTAL DUE

METHOD OF PAYMENT: Note: Remit in U.S. Funds.
	Visa	MasterCard	American Express	Expiration Date
Card Number:			CSV: (3 or 4-digit security code)
Account Holder:
Billing Address:


CANCELLATION/REFUND POLICY: The deadline for refunds was August 31, 2009.


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