PCYA - Checkout

Vendor Registration Types

Supporter Level Sponsorship - $2500.00 - This includes 1 Table and 2 Registrations

Supporter Level Sponsorship Additional Attendee - $0.00 - Select this option to add the additional attendee for the Supporter Level Sponsorship.

Friend Level Sponsorship - $1500.00 - This includes 1 Table and 2 Registrations

Friend Level Sponsorship Additional Attendee - $0.00 - Select this option to add the additional attendee for the Friend Level Sponsorship.

Exhibitor - Associate Member - $500.00 - This includes 1 Table and 1 Registration

Exhibitor - Non-Member - $800.00 - This includes 1 Table and 1 Registration

Non-Exhibitor - Associate Member - $300.00 - No Table Display and 1 Registration

Non-Exhibitor - Non-Member - $350.00 - No Table Display and 1 Registration

Session Selection

Attendee Info

First Name *

Last Name *

Email *

Please enter the Attendees Email

Company *

Title *

Street 1 *

Street 2

City *

State *

Zip Code *

Emergency Contact Name *

Emergency Contact Phone *

Please list any ADA, dietary or other special accommodations you may need.

Cart Review

Registered Attendees

Payment

Billing Information

First Name: *

Last Name: *

Email: *

Address 1: *

Address 2:

City: *

State: *

Zip: *

PO Number

Customer Reference / Memo

Order Summary

Order Total:

Payment Option

Card Information

Credit Card Number: *

Expiration Date: *

CVV: *

By checking this box, I acknowledge that I have read the Commitment to Well Being and agree to comply with safety precautions and recommendations specified by the Commonwealth of Pennsylvania and the CDC.

Confirmation

Thank you for registering! A confirmation email will be sent to the email provided in your registration. Please contact Chrystal Mccorkel with any questions.

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