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2009 Decatur Reverse Trade Show
Registration Form

Company Representative/Attendee

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Company:

Address:

City:

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Email:

Phone:

Fax:

Additional Company Representative/Attendee

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Company:

Address:

City:

State:

Zip:

Email:

Phone:

Fax:

Additional Company Representative/Attendee

Name:

Company:

Address:

City:

State:

Zip:

Email:

Phone:

Fax:


Payment Information
Manufacture Alabama Members: $50/Attendee - Non Manufacture Alabama Members: $100/Attendee
Payment Type:	Check	VISA	AMEX	MasterCard
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Standing Up For Free Enterprise • Standing Up For Alabama's Manufacturing Jobs • Affecting Outcomes in Montgomery