Registration Form
CIL-Con
September 11-12, 2020
Cross County Mall, 700 Broadway Ave. E, Mattoon IL 61938
Business Name: *
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Contact Name: *
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Contact Phone: *
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Contact Address: *
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Email: *
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Website:
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Type of Product or Services:
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Would you like to be considered for a speaker/presentation spot during the event?
Topic:** (if Yes above) otherwise leave blank.
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AV Needs:** (if Yes above) otherwise leave blank.
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Vendor Booths
Include 1 Table and 2 chairs for $75.00 Add'l Tables Available for $10 (up to 2). For booths in need of more than 3 tables please contact Becky at Zitaheals@gmail.com for pricing.
# of Booths Requested:
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All booths include electricity. Please bring an extension cord & table cover. Booth area is approximately 10x10. You may bring additional tables for free.
Any questions or concerns contact zitaheals@gmail.com
Booth Rental Fee + Add'l Table Fee = Total Due: (Calculate total and state when and how payment will be made if you want a PayPal Invoice email zitaheals@gmail.com)
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Payment Information
Payment can be sent via Pay Pal to: Paypal.me/cilcon or you can request a Pay Pal Invoice be sent to you by emailing zitaheals@gmail.com

Via Mail:
CIL-Con * Po Box 306 * Mattoon IL 61938
Checks can be made payable to CIL-Con
Refund Policy
Refunds requested prior to May 1, 2020 will receive a full refund. From May 1-July 31st a $30 cancellation fee will be charged. NO REFUNDS after August 1, 2020.
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