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ASOT 2023 Purchase Order Early Bird

Early Bird prices end on December 31, 2022.

Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please attach a list of attendees, their email, phone number, address, and whether they are Two Day, Day 1 only, or Day 2 only.
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IMPORTANT NOTICE All sales are final, No Refunds. Payment Terms are credit card or Net 30 from the date of this form. Late Payments may incur a fee. Photography, audio, or video recording is strictly prohibited without written permission from MHA of Greater Dallas. No outside Food or Beverages are allowed. CDC Guidelines will be in place as needed.