ALL FIELDS REQUIRED

Exhibitor name

Address

City

State

Telephone

Website (please note you must include http:// for this form to accept your website address)

Email

Your Listing (400 character limit; approximately 80 words. May be edited for space.)

400

BEFORE YOU CLICK SEND, PLEASE READ THIS NOTE!!!!
Once you enter this form, you will be given the option to enter payment through PayPal. This is for your convenience. Please use your registration form to calculate your total amount due, then enter that as your "Price per item." You can then e-mail your completed registration to Meg Schoh at meg@cpclax.com or Lissa Carlson at lissa@cpclax.com.

If you'd prefer, please mail your registration with a check, postmarked no later than Wed., February 20 to guarantee premium booth space and inclusion in the Expo directory to:

Coulee Parenting
P.O. Box 2576
La Crosse, WI 54602

(Expo reservations/payments accepted through Mon., March 18. However, registrations received after February 20 cannot be added to the Expo directory.)

Thank you! We look forward to another successful Expo with you!

Remember, once you click send, simply exit out of PayPal on the next screen if you do not wish to pay by credit card. Your listing will still send!