OPMUG February 4th, 2015 Seminar Registration

1. OPMUG 2015-2-4 Seminar Registration

“Belts and Drives”

February 4, 2015
8:30 AM - 4:00 PM

MERIDIAN TECHNOLOGY CENTER
1312 South Sangre Road
Stillwater, OK 74074-1899

www.OPMUG.org

Continental Breakfast - Provided Free

Lunch is available for $9.00

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* 1. First Name:

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* 2. Last Name:

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* 3. Company:

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* 4. Street Address:

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* 5. City:

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* 6. State:

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* 7. ZIP Code (please include your full 9-digit if you know it):

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* 8. Telephone Number:

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* 9. Email Address:

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* 10. FAX Number:

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* 11. Last 4 of SSN:

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* 12. Will you be eating lunch at Meridian? ($9.00)

Yes

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* 13. How did you hear about this program (select all that apply)?

OPMUG Web Site

Post Card

eMail flier

Other (please specify)

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* 14. What level/type position do you hold with your company.

Technician

Supervisor

Middle Manager

Manager

Other (please specify)

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* 15. Given a choice, in which of the following formats would you prefer your OPMUG Seminar Certificated of Attendance?

Hard Copy distributed at seminar.

Email attachment sent out after seminar.

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* 16. Please provide any suggestions you might have for future program topics:

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* 17. Have you completed the 2015 Individual and company PdM certification survey?

Yes