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

1401 Hudson Lane Suite 200
Monroe, Louisiana 71201

1-800-245-9169
e-mail CDI

  
Supplier Attendance Form
Name
 *First:
 Required.
*Last: Required.
* Title:
 Required.
*Company:
 Required.

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

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

Guest
First:
 Required.
Last: Required.

Yes

 I will be in attendance at the ANNUAL MEMBER/ SUPPLIER CONFERENCE.



Required 		I would like to reserve a booth for the conference ($2500.00)



Required 		I plan to attend the Opening Session.



Required 		I plan to participate in the Annual Member/Supplier Golf Tournament. (If yes, Golf Tournament Registration must be completed.)



Required 		My guest plans to participate in the Annual Member/Supplier Golf Tournament. (If yes, Golf Tournament Registration must be completed.)



Required 		I plan to attend the Opening Reception for Members and Suppliers, as a guest of CDI.



Required 		My guest will attend the Opening Reception for Members and Suppliers, as a guest of CDI.



Required 		I plan to attend the Member/Supplier Lunch Buffet at a cost of $20.00.



Required 		My guest will attend the Member/Supplier Lunch Buffet at a cost of $20.00.



Required 		I will attend the Supplier Breakfast, as a guest of CDI.



Required 		I will attend the Reception and Annual Awards Dinner for Members and Suppliers, as a guest of CDI.



Required 		My guest will attend the Reception and Annual Awards Dinner for Members and Suppliers, as a guest of CDI.
Note: If you did not register online, please return this completed form for CDI by February 15th, 2011 via FAX at: (318)361-3878 or the Email address listed above.

* Denotes Required Field

    

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