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Educating and empowering members
to provide healthy meals
to foster an environment where children achieve overall wellness and lifelong success.
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CSNA Annual Conference Exhibitor Registration
Company:
Address:
City:
State:
Zip:
Contact Name:
Title:
Phone:
FAX:
Email:
SafeHuman
Information to be printed in Program book (if different)
Company:
Address:
City:
State:
Zip:
Contact Name:
Title:
Phone:
FAX:
Email:
Are you a broker:
Please Select...
No
Yes
If so who do you represent?:
PLEASE FILL OUT A SEPARATE FORM FOR EACH MANUFACTURER YOU WILL BE REPRESENTING AT THE SHOW AND SUBMIT ALL FORMS TOGETHER.
Are you represented by a broker?:
Please Select...
No
Yes
If so who are you represented by:
Are you a commodity processor?:
Please Select...
No
Yes
Company you would like on the ID sign for your booth?
Number of exhibit spaces you would like to reserve:
Regular Booths:
Premium Booths:
Preferred Booth Locations:
1st:
2nd:
3rd:
Please list probable Exhibitors you wish to be near:
Please list probable Exhibitors you do not wish to be near:
Please check the categories which most closely describe the products or services you will be displaying:
Baked Products/Frozen/Fresh
Brokers
Beverages
Canned Goods
Computer Hardware
Computer Software
Dairies
Distributors
Equipment, Banquet
Food, Condiments
Food, Dry Goods
Equipment, Large
Equipment, Small Wares
Equipment, Software
Food Courts/Furniture
Food, Frozen
Food, IQF
Food, Fruits & Vegetables
Food, Snack
Food, Staples
Janitorial
Money Counters/POS Equip.
Paper Supplies
Resource Agencies
State Agencies
Uniforms
Other
Yes, I will mail in the Mandatory Certificate of Insurance with a printout of this form.
Exhibit Fees:
Is your company a member?:
Please Select...
No
Yes
Number of Regular Booths @ $1275
Number of Premium Booths @ $1425
One 20' X 20' Island (Equiv 4 Premium Booths) $6,500
*Non-Member Exhibitors Add $250 per booth
Subtotal:
Plus late fee (If not paid in full by July 31, 2022)
(10' X 10) Booths @ $150 Per Booth
Less Deposit Paid (If Any): -
Total:
Comments:
Payment Type:
Please Select...
Credit Card
Check
Credit Card Type:
American Express
Visa
Mastercard
Credit Card Holder's First Name:
Credit Card Holder's Last Name:
Credit Card #:
Credit Card Expiration Date:
Month...
01
02
03
04
05
06
07
08
09
10
11
12
Year...
2024
2025
2026
2027
2028
2029
2030
2031
2032
CC V-Code:
CC Street Address:
CC Zip:
Calendar
Legislative Action Conference
Annual Conference
Industry Seminar
Forms
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Exhibitor Information
Upcoming CSNA Events
March 17-19, 2024
Legislative Action Conference
May 5-7, 2024
Child Nutrition & Industry Summit
November 13-16, 2024
72nd Annual Conference