2012 PowerTest Exhibitor Conference Registration

Exhibitor Conference Registration #1

Save up to $469!

As an exhibitor, you may register two individuals for conference attendance at the low price of $450. Additional attendees must register at the published rates.

The registration fee includes all conference benefits and activities on Monday and Tuesday: attendance at presentations, USB of all conference presentations, breakfast daily, and attendance at the Welcome Reception on Monday evening.

For assistance, contact James Noel at 269.488.6382 or jnoel@netaworld.org.

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* A. Please complete the following to receive the first exhibitor registration at the discounted rate of $450.

Name:

Company:

Address:

City/Town:

State:

ZIP:

Country:

Email Address:

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* Will you be attending the welcome reception?

MONDAY:
6:00 pm – 8:30 pm

Put on your best bib and tucker and join the hootenanny as we gather at the Dallas Cowboy Stadium. There'll be a heap of tasty grub, plenty of socializing, dancing, and all around good fun sponsored by Shermco Industries, Megger, and Group CBS!

Yes

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* B. Panel Sessions - Select two (included in conference registration).

Safety

Circuit Brakers

Relays

Motors and Generators

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* C. Wednesday Seminars - Registration for seminars is available at $249 each. Register for two or more seminars and receive at 15% discount.

	Wednesday Morning	Wednesday Afternoon
Select seminars	Select seminars Wednesday Morning menu	Select seminars Wednesday Afternoon menu

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* D. Thursday Hands-On Seminars - register for all day hands-on seminars. Hosted by Shermco Industries, AVO Training Institute, and Astro Controls/Circuit Breaker Sales. Cost is $549.

All day hands-on seminars

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* E. Activities and Other Essentials - Select from the following optional items available for purchase.

Spouse/Guest Pass - $75

Social Pass - $25

Pre-conference Tour (Pub Crawl) - $145

Conference Shirt - $45

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* If you purchased a conference shirt, please select size.

2XL

3XL

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* Total Due for Exhibitor #1. You will have the opportunity to enter the credit card information for these charges at the end of this form.

Total Part A:

Total Part C:

Total Part D:

Total Part E:

Grand Total for Exhibitor #1:

Please move to the next page to register exhibitor #2. If you are not registering a second exhibitor, move to page 3 to enter your credit card information by clicking on the "next" button at the bottom of page 2.