SECOND ANNUAL

SAFETY FORUM

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SAFETY OFFICERS ASSOCIATION INC.

EXHIBITOR FORM

2012
"Everyone Goes Home®"

(631) 495-1313
1070 Middle Country Rd. Suite 7-166, Selden NY 11784

         BROOKHAVEN TOWN​

PLEASE FILL OUT FORM AND IF YOU WISH TO PAY WITH CREDIT CARD CLICK ADD TO CART BUTTON. EACH TABLE PAYS FOR ONE PERSON
EXHIBITOR

EXHIBITOR, PLEASE FILL OUT AND SUBMIT THE BELOW FORM.  REGISTRATION INCLUDES 1 TABLE, 1 CHAIR AND 1 PERSON FOR $250,  ADDITIONAL TABLE/CHAIR/PERSON IS $150. ADDITIONAL PEOPLE ARE $65 EACH, INCLUDES ADDITIONAL CHAIR