An Affiliate of the School Nutrition Association

An Affiliate of the School Nutrition Association School Nutrition Association of South Carolina (SNA of SC) Post Office Box 1795 Columbia, South Carolina 29202 Email: [email protected] Website: www.schoolnutritionsc.com 803-331-8632 or 803-782-0951-~~phone 803-790-2723~~fax Joyce C. Lovett, Executive Director

The School Nutrition Association of South Carolina and the State Department of Education~~Office of Health and Nutrition 2018 Industry Conference Columbia Metropolitan Convention Center, 1101 Lincoln Street, Columbia, SC February 20-22, 2018

REGISTRATION FORM

Registration is $125.00 (to include the reception dinner on Wednesday evening and breakfast on Thursday)

Due Date: February 12, 2018

Name** ______

District ______

Amount $______

**Complete a form for each individual attending

Send check to: SNA of SC Credit Card Form PO Box 1795 attached if needed Columbia, SC 29202

Hotel: We have not secured rooms and contracted with any hotels in the area. Please feel free to google the Columbia Convention Center for hotels. (https://www.columbiaconventioncenter.com) VISION The vision of the South Carolina School Food Services Association, the voice of child nutrition, is that all children in South Carolina have access to healthy meals and nutrition education; therefore, enhancing their physical and mental well-being for a lifetime. An Affiliate of the School Nutrition Association School Nutrition Association of South Carolina (SNA of SC) Post Office Box 1795 Columbia, South Carolina 29202 Email: [email protected] Website: www.schoolnutritionsc.com 803-331-8632 or 803-782-0951-~~phone 803-790-2723~~fax Joyce C. Lovett, Executive Director

AUTHORIZATION TO MAKE CREDIT CARD CHARGE All transactions will be handled with the utmost confidence. Please do not fax this info unless you have confirmed that I am able to retrieve this document immediately. This information is NOT saved for future transactions.

Complete all information. Please PRINT/TYPE except for signature. Thank you. Charge to:  AmExpress  MasterCard  VISA Credit Card Number:

Expiration Date: Amount to Charge: $

Purpose (Event): 2018 SNA of SC Industry Conference

Name on Credit Card:

District/Company:

Billing Address:

City: State: Zip:

Telephone: Email Address: (Receipt will be sent to this email address.) Signature: Date: Mail this completed form to or email to: [email protected] SNA of SC PO Box 1795 Columbia, SC 29202

If you have any questions regarding this transaction, please contact Diane D. Gillie at: 803-734-8193 – phone [email protected] - email

VISION The vision of the South Carolina School Food Services Association, the voice of child nutrition, is that all children in South Carolina have access to healthy meals and nutrition education; therefore, enhancing their physical and mental well-being for a lifetime.