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Virtual Meeting -
January 4th & 11th 2024

Exhibitor Levels

Vendor Packet

Payment Information

To pay by check:

Make check payable to:
Connecticut Society of Eye Physicians
P.O. Box 854
Litchfield, CT 06759

Credit card form to fax (pdf)

W9 form

Please Save Forms after you fill out
and Fax to 860-567-3591 to Register