Registration Form

Print this form and fill it out

Company Name:________________________________________
Contact:_____________________________________________
Title:_______________________________________________
Street Address:______________________________________
City, State, & Zip:__________________________________
Telephone:___________________ Fax:___________________

Payment Information

__ Yes, I want to attend the 2nd Pennsylvania-Russia Business Opportunity Fair
Admission at a cost of $120
($96 for Pennsylvania-Russia Business Council members and Delco Chamber of Commerce members)

__ Yes, reserve a booth for my company
Booth rental fee is $550
($440 for Pennsylvania-Russia Business Council members and Delco Chamber of Commerce members)

__ Yes, I want to become a corporate sponsor for the Fair
Gold Sponsor Silver Sponsor Bronze Sponsor

Check for $___ enclosed
Make checks payable to Pennsylvania-Russia Business Council

(Payment at the door in an additional $10)

Please, mail this form along with payment to:

Pennsylvania-Russia Business Council
1400 Mill Creek Road, 2nd Floor
Gladwyne, PA 19035

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