Submit Online Registration Form Below
Additional Reference: Printable Registration
Questions? Contact Jean Barlage at jbarlage@ctconstruction.org or call: 860-529-6855

Please consider bringing a Toy in Support of CT Childrens. For safety reasons, all items must be brand new and unwrapped. Examples include: Bubbles, Fleece Blankets, Stuffed Animals, Card/Board Games, Arts and Crafts, barbies, Fisher Price Toys, Legos.

Company Contact:

Company: *

Primary Contact: *

Email: *

Phone:

Attendees:

Total No. YCC Members Attending at $70 pp

Total Non YCC Members Attending @ $75 pp

Guest 1: *

Guest 2:

Guest 3:

Guest 4:

Guest 5:

Guest 6:

Guest 7:

Guest 8:

Sponsorships, attendees & Payment Info:

Sponsorships:

$250 Gold (Logo in promotional emails and on sign)

$100 Silver (logo on sign at event)

No sponsorship

Clear Selection

Attendees: *

$70 YCC MBR

$75 YCC Non-MBR

Member and Non-Members Attending

Clear Selection

TOTAL Attendees *

TOTAL DUE: *

Payment Options: *

Credit Card

Check (Payable to CCIA)

Clear Selection

Mail Check to CCIA
912 Silas Deane Hwy., Suite 112
Wethersfield, CT 06109

Cancellation Policy: 48 hour notice required for refund.

Contributions or gifts to YCC are not deductible as charitable contributions for Federal Income Tax Purposes. Registration and attendance at YCC events constitutes an agreement by the attendee to the use and distribution of photos.

For more info., contact Jean Barlage
(860) 529-6855

Your form submission WILL be encrypted using SSL to ensure your privacy.


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Company Contact:

Attendees:

Sponsorships, attendees & Payment Info:

Contributions or gifts to YCC are not deductible as charitable contributions for Federal Income Tax Purposes. Registration and attendance at YCC events constitutes an agreement by the attendee to the use and distribution of photos.

For more info., contact Jean Barlage (860) 529-6855

Calendar

For more info., contact Jean Barlage
(860) 529-6855