P.O. Box 2531 Mechanicsville, VA 23116 Phone 804-370

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/