VGA ::: The Vermont Grocers' Association

135 No. Main Street, Ste. 5 - Rutland, Vermont 05701
802-775-5460 | 802-773-2242 (fax)

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Fiesta!!
Vermont Food Industry Convention & Expo
Sheraton Hotel - Burlington, Vermont
September 26-28, 2008

Online Registration Form

Please call the VGA office, 1-800-842-8503 if you have any questions. Upon submission, VGA will invoice you for the convention registration and fees as indicated below.

Or, if you choose, you may pay by credit card and use the Pay Pal option within this site. If you choose the Pay Pal option, we will email you with your total amount due. Then simply go to the PayPal link enclosed in that email message to make your payment online.

Questions? Please call 800-842-8503. We'll be glad to asist you.

Want to print the form out and mail it in? Find a PDF version of this registration form here.

Company Information

* Required Fields.

*Company Name:
*Contact:

*Street:
*City:		*State:		*Zip:

*Mailing Address (If different from above)

Address:
City:	State:	Zip:

*Bus. Phone:		Home Phone:
Fax:		*Email:

PLEASE CHECK THE MOST APPROPRIATE: please select ONLY one

RETAILER

RESTAURANT

EXHIBITOR

SUPPLIER

GUEST

Registrations for Attendees

Please complete and submit for each attendee. If you have more than six, please complete a second form.

*1
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer
*2
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer
*3
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer
*4
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer
*5
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer
*6
Last Name:
First Name:
Please select if a Store or Restaurant Owner or Buyer

Friday Golf Registration

Single Golf Reg. $89

Total number of people golfing at $89

Four-Man Team
Package & Tee Sponsorship $435

Handicaps:
Please list handicaps in the same oider as your attendee list above.

Golfer 1 name:

          Handicap

Golfer 2 name:

          Handicap

Golfer 3 name:

          Handicap

Golfer 4 name:

          Handicap

Select a Course: Williston Links at Lang Farms (please select only one)

Meal / Event Registration

BEST BUY:

Weekend Package - $59
(includes all convention meals and registration)

Please list the attendees by full name for this event (ex: Jim Smith)