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Vermont Grocers' Association
148 State Street
Montpelier, Vermont 05602
802-839-1928 (office)
802-839-1927 (fax)
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Vermont Food Industry Convention & Expo Sheraton- Burlington Hotel

Sheraton- Burlington Hotel
September 13 - 15, 2012
Featuring: All Day Food Industry Expo
Friday, September 14th
Champlain Valley Expo Centre-Essex Junction, VT

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 (if any) 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 Attendee
Last Name: 
First Name:
 
*2 Attendee
Last Name: 
First Name:
 
*3 Attendee
Last Name: 
First Name:
 
*4 Attendee
Last Name: 
First Name:
 
*5 Attendee
Last Name: 
First Name:
 
*6 Attendee
Last Name: 
First Name:
 

Friday Golf Registration - Cedar Knoll Country Club
Single Golf Reg. $85
Total number of people golfing at $85
Four-Man Team
Package & Tee Sponsorship $400
Handicaps:
Please list handicaps in the same order as your attendee list above. 		Golfer 1 name:

Handicap

Golfer 2 name:

Handicap

Golfer 3 name:

Handicap

Golfer 4 name:

Handicap

Meal / Event Registration
BEST BUY:
Best Deal Convention Package - $66 
(includes all convention meals)
Please list the attendees by full name for this event (ex: Jim Smith)

Name 1
Name 2
Name 3
Name 4
Name 5
Name 6

Thursday:
 Servsafe Seminar (Separate reg. required) - $135.00
Please list the attendees by name for this event
(ex: Jim Smith) 		Name 1
Name 2
Name 3
Name 4
Name 5
Name 6
Thursday:
 Welcome Reception - $0
Please list the attendees by name for this event
(ex: Jim Smith) 		Name 1
Name 2
Name 3
Name 4
Name 5
Name 6
Friday:
 Chairman’s Banquet & Entertainment - $43.50
Please list the attendees by name for this event
(ex: Jim Smith) 		Name 1
Name 2
Name 3
Name 4
Name 5
Name 6
Saturday:
 Closing Brunch - $25.00 
Please list the attendees by name for this event
(ex: Jim Smith) 		Name 1
Name 2
Name 3
Name 4
Name 5
Name 6

Payment Type

Upon submission of this form, VGA will invoice you for the registration and sponsorship fees as indicated. Or, if you so choose, you may pay by credit card and use the Pay Pal option within this site. If you choose the Pay Pal option (pay online) , 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.

Do you want to pay online with a credit card or shall we invoice you? please select ONLY one:

I will pay online  Please invoice me


CANCELLATION - REFUND POLICY
• Full refunds will be made if written notice is given to VGA by 9-10-12
• No Refunds after 9-10-12
• Cancellations Must Be In Writing

 

 


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