Vendor Form for CCSC:SE Conference
Please make your check payable to CCSC for the amount of $50. Mail your check along with this form to Dr. Julia Benson-Slaughter at: Department of Mathematics/Computer Science/Engineering
Company Name ________________________________Contact Person _________________________________Address _______________________________________ _______________________________________
_______________________________________ Telephone _____________________________________E-mail
________________________________________ Number of people attending: Any special requirements?_______________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ If you are interested in attending the conference banquet or luncheon, please include $25 per ticket to the banquet and/or $10 per ticket to the luncheon in your payment. |