VALVE
BASICS eminar & Exhibition
REGISTRATION FORM
Valve Basics Seminar & Exhibition– Philadelphia | Thursday, May 20, 2010
CHooSE onE (for 1st attendee from company):
; $325 Registration for full day
Includes Valves & Actuators 101 education sessions,
continental breakfast, lunch, coffee breaks and reception,
session materials and Certificate of Completion (0.6
CEUs)
CHooSE onE (for additional attendees from the same company):
; $305 Registration for full day
Includes Valves & Actuators 101 education sessions,
continental breakfast, lunch, coffee breaks and reception,
session materials and Certificate of Completion (0.6
CEUs)
; $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
COMPANY
E-MAIL
ADDRESS
CITY
STATE ZIP
PHONE FAX
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 Angela Hingston-Oliver, Meetings Manager,
VMA, 1050 17th Street NW, Suite 280,
Washington, DC 20036.
; Charge:
; VISA ; ; MasterCard ; ; Discover ; ;
AmEx
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:
_____________________________________________
