P.O. Box 2531 Mechanicsville, VA 23116 Phone 804-370-1443 Fax 480-247-4017 [email protected] CITMA FDA Update, Pre-Market Tobacco Application and Substantial Equivalence Seminar, Falls Church, VA March 12, 2015 I am Product Manufacturer or importer of cigarettes, cigarette tobacco, roll-your-own tobacco, smokeless tobacco, electronic cigarettes, e-devices, e-liquids, cigars, pipe tobacco certain dissolvables that are not “smokeless tobacco”, gels and waterpipe tobacco employing less than 350 employees, or I am an industry supplier to the above Product Manufacturers and importers and I wish to register the following attendees for the CITMA Update Seminar on FDA regulation of tobacco and other novel tobacco products. Registration Information Name of Company: _______________________________ Company Contact: _______________________________ Street Address ________________________________ City: ____________________ State: __________________ Zip:____________ Email:____________________ Phone:__________________ Fax:__________________ Badge Name as follows: Attendees Name: _________________________Attendees Name:_________________________ Attendees Name:_________________________ Attendees Name:_________________________ ALL MEMBERS MUST MAKE THEIR OWN HOTEL RESERVATIONS A small block of rooms have been reserved and you can tell the hotel you are part of the CITMA meeting. The rate on this block of rooms is $209 Seminar Location Falls Church Marriott Fairview Park 3111 Fairview Park Drive Falls Church, VA 22042 (703)-849-9400 http://www.marriott.com/hotels/travel/wasfp-falls-church-marriott-fairview-park/