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2011 Coast-to-Coast College Fair
College Representative Online Registration Form
May 2, 2011 -- Chattanooga, Tennessee
Contact Information
Name of Institution:
Address:
Address (line 2):
City, State, Zip
  City State Zip
Institution Web Address:
Main Contact Information
Representative Name:
Title:
Email Address:
Telephone:
  Area Code Number Extention
Additional Representatives:
2nd Representative:
3rd Representative:
Registration Fee:
Total Registration Fee: *Please enter total based on calculation below
(Add up total registration fee based on $150 for the first representative and $25 for each additional rep)

Note: Our Tax Identification Number (TIN) is 87-0809771

There are two quick steps left to complete your online registration. First, please use the PRINT FORM button below to print a hard copy of your completed registration form. Once you have completed printing the form, send the printed registration form along with your check, payable to Coast-to-Coast College Fair for your registration fee shown above to:

Susie Crouch
Coast-to-Coast College Fair
P.O. Box 4221
Chattanooga, TN 37405

Then please click the SUBMIT REGISTRATION button to send your information to our server so that your information will appear on the Registered Colleges section of our web site.

CANCELLATION POLICY: Refunds, minus a $25 processing fee, will be made if the request is sent via email by March 26, 2010. Refunds will not be given for cancellations made after March 26 or in the event that an exhibitor or registrant simply does not show. All refund requests should be emailed to: coast-to-coastfair@hotmail.com and indicate “Cancellation Request” in the subject line.

Thank you for registering!
We will see you at the 2010 Coast-to-Coast College Fair