Exhibitor-Summer Conference 2018

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Exhibitor Registration
Printable Registration Form

Company/Organization*:  

Contact Name*:  

Title*:  

Mailing Address*:  

City/State/Zip*:  

Phone Number*:  

Email*:  

Attending Company/Organization Representatives (TO APPEAR ON NAME TAG):

Name*:   
Title*:  

Name:  
Title:  

*REQUIRED

We will provide a door prize to be drawn on Thursday, June 28 during lunch:  

Fees (CHECK ONE):
KCJEA Associate Member  $450  
KMCA Partner Program Member  $450  
State Agency  $450  
All Others  $650  

Check if you need Electric Access  $100  

~Sponsors receive a DISCOUNT-see Sponsor Registration Form

© 2016 Kentucky County Judge/Executive Association 115 East 2nd Street, Frankfort, KY40601

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