VALVE
BASICS
Seminar & Exhibition
REGISTRATION FORM
REG STER ONLINEATVMA.ORG>EVENTS
Valve Basics Seminar & Exhibition | Thursday, October 29, 2009
CHOOSE ONE:
$275 Registration fee for full-day
Includes both Valves 101 and Actuators 101 education sessions, continental
breakfast, lunch, coffee breaks and reception, and session materials
$150 Registration fee for half-day (choose one): Valves 101 (am) Actuators 101 (pm)
Includes choice of one education session, and either breakfast, lunch and morning coffee
break, or lunch, afternoon coffee break and reception, plus materials for session attended
$75 Exhibit hall only
Includes entry to exhibition and meal functions. Does not include education sessions and materials.
PLEASE FILL OUT A SEPARATE FORM FOR EACH ATTENDEE.
NAME
NICKNAME FOR BADGE
TITLE
Choose check or charge:
Enclosed is a check in the amount of :
$__________ representing ___ registrations.
Please make checks payable to VMA, referencing
the Valve Basics Seminar & Exhibition, and mail to
Abby Brown, Meetings Manager, VMA, 1050 17th
Street NW, Suite 280, Washington, DC 20036.
Charge:
VISA MasterCard Discover AmEx
COMPANY
E-MAIL
ADDRESS
CITY
STATE ZIP
PHONE FAX
Card No.
Exp. Date
Signature
Do you receive Valve Magazine?
Yes No
If “no,” may we provide you with a
free subscription? Yes No
If “yes,” choose either: print or digital
Sign here and provide date to activate your
quarterly subscription:
_____________________________________________
Signature Date
