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EXHIBIT APPLICATION
2020 KATPO EYE TRIVIA AND CE PROGRAM
FEBRUARY 7-8, 2020
Marriott Griffin Gate Resort, 1800 Newtown Pike, Lexington, KY 40511
Tax ID# 61-1306096
TABLE REQUIREMENTS
Please bring a sign to identify your company. We will provide a six-foot, draped table. *
I will need an electrical outlet. (Included in the fee)
I will need access to the Internet. (Included in the fee)
You can register with this form and pay now or you can print the pdf form and mail to:
Mail payment and application to:
Karen Susco, COMT
3745 Crosby Dr,
Lexington, KY 40517
* Make Checks/Money Orders payable to KATPO or click on "Buy Now" for Paypal.


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