RSVA ®

Randolph-Sheppard
Vendors of America^®

Blind Businessmen and Businesswomen
Building a Better America

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SAGEBRUSH

RSVA^®

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RSVA^® 2027 SAGEBRUSH CONFERENCE FORM

(VIRTUAL ATTENDEE REGISTRATION)

All virtual participants must register to receive the Zoom info, program, and have access to door prizes.

All participants must register by February 8.

NOTE: we will be unable to give refunds after January 1, 2027.

Please complete the registration form below for the conference.

Name:

Mailing Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

E-mail:

Are you a First Time participant? YES No

Would you like to share your contact information with other participants, exhibitors and sponsors? Do NOT Share Share

Check the box to indicate your media preference: Check which Media Format you prefer: Email

Please select the events you plan to attend:

Check the box to indicate the events you plan to attend Wednesday BEP Administrators break-out
Wednesday State Committee Chairs break-out
Thursday Exhibits

Virtual Registration

Virtual attendee Registration fee is $100.
Virtual attendee Registration Fee after January 1, 2027, $150.

Today is 09/05/2026

Virtual registration fee today is $100.

NOTE: New extra events and items with additional fees.

Please select events and items you wish to add to your registration.

Vendorscope Subscription/RSVA® Membership: $10

All first-time attendees will be given a free 1 year Vendorscope Subscription/RSVA® Membership.

Lifetime membership: $200

Donation for 50/50 drawing: $5 for 6 tickets $10 for 12 tickets $20 for 24 tickets

Select a pack of 50-50-drawing tickets No tickets
$5 for 6 tickets
$10 for 12 tickets
$20 for 24 tickets

Individual Convention Sponsorships are available for those wishing to assist in covering the conference expenses:

RSVA® has teamed up with Blind Girl Designs for "RSVA At Your Service Products and 90th Anniversary of the RS Act products." You can call Tricia at 862-448-1011 or order at https://blindgirldesigns.com/collections/rsva
Items ordered directly from Blind Girl Designs will be sent without an additional delivery fee.
Other items may be added later for pre-order.

Total registration cost: You will see your total on the next review page before final submission.

NOTICE TO ALL PARTICIPANTS:
A valid registration will be required to enter any convention function.
Sorry, we are unable to give refunds after January 1, 2027

Registration will not be complete without payment.

For further information, you may contact RSVA^® Ardis Bazyn at (818) 209-8684
or e-mail: rsva@randolph-sheppard.org.


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Randolph Sheppard Vendors of America^®
940 Parc Helene Drive Marrero, LA 70072
Email: rsva@randolph-sheppard.org Website: www.randolph-sheppard.org

RSVA® 2027 SAGEBRUSH CONFERENCE FORM

Virtual Registration

NOTE: New extra events and items with additional fees.

Individual Convention Sponsorships are available for those wishing to assist in covering the conference expenses:

RSVA^® 2027 SAGEBRUSH CONFERENCE FORM