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Educating and empowering members to provide healthy meals to foster an environment where children achieve overall wellness and lifelong success.
Child Nutrition and Industry Summit

Child Nutrition and Industry Summit

Child Nutrition and Industry Summit
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First Name:*
Last Name:*
Title:
Company:*
Work Address:
Work City:
Work State:
Work ZIP Code:
Work Phone:
Work FAX:
E-mail:
SafeHuman
Registrant Type:*
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For Estimation purposes, do you plan on attending the Monday evening Installation of Officers function?

Installation Dinner Monday Night Choice(included in Industry Seminar registration for all):*

Monday Lunch Choice(included in Industry Seminar registration for all):*

Comments:


Total Amount Due
Payment Type: Credit Card Type:
Credit Card Holder's First Name:
Credit Card Holder's Last Name:
Credit Card #:
Credit Card Expiration Date:  
CC V-Code:
CC Street Address:
CC Zip:

Purchase orders will not be accepted. Request for refund must be received in writing by 03/20/2025. A $100 cancellation fee will be deducted. If you are mailing this form in with a check, please mail it to: CSNA, PO Box 11376 Burbank, CA 91510 (818) 842-3040 Fax: (818) 843-7423

 
California School Nutrition Association
PO Box 11376, Burbank, California 91510
Phone: (818) 842-3040 | Fax: (818) 843-7423
President's Party Sponsors:
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