Consolidated Distributors Inc. Annual Member/Supplier Conference

20th Annual Member/Supplier Conference 
Hyatt Grand Champion Resort, Villas, and Spa 
Indian Wells (Palm Springs), California 
March 10^th – 12^th, 2011

1401 Hudson Lane Suite 200
Monroe, Louisiana 71201

1-800-245-9169
e-mail CDI

Member Attendance Form

Member Registration

* Denotes Required Field

Name
*First:	Required
*Last:	Required
* Title:	Required
*Company:	Required

Address
*Address 1:	Required
Address 2:
*City:	Required
*State:	Please select an item.
*Zip:	Required

Contact
*Telephone:	Required
Fax:
*E-mail:	RequiredInvalid format.

Guest
First:
Last:	Required

Please Make Your Selections Below *(All Fields are Required)
Yes No Require	I will be in attendance at ANNUAL MEMBER/ SUPPLIER CONFERENCE.
Yes No Required	I plan to attend the Opening Session.
Yes No Required	I will attend the Membership Meeting (for Distributors only.)
Yes No Required	I will attend the Member Lunch (for Distributors only).
Yes No Required	My guest will attend the Member Lunch (for Distributors only).
Yes No Required	I plan to participate in the Annual Member/Supplier Golf Tournament. (If ‘Yes’, Golf Tournament Registration must be completed.)
Yes No Required	My guest plans to participate in the Annual Member/Supplier Golf Tournament. (If ‘Yes’, Golf Tournament Registration must be completed.)
Yes No Required	I plan to attend the Opening Reception for Members and Suppliers, as a guest of CDI.
Yes No Required	My guest will attend the Opening Reception for Members and Suppliers.
Yes No Required	I plan to attend the Member/Supplier Lunch Buffet at a cost of $20.00.
Yes No Required	My guest will attend the Member/Supplier Lunch Buffet at a cost of $20.00.
Yes No Required	I will attend the Reception and Annual Awards Dinner for Members and Suppliers, as a guest of CDI.
Yes No Required	My guest will attend the Reception and Annual Awards Dinner for Members and Suppliers, as a guest of CDI.

* Denotes Required Field

Design and Hosting by Total-e-Service a Division of NMY

20th Annual Member/Supplier Conference

Hyatt Grand Champion Resort, Villas, and Spa

Indian Wells (Palm Springs), California

March 10th – 12th, 2011

March 10^th – 12^th, 2011