Machinery Lubrication magazine published by Noria Corporation
Issue link: http://www.e-digitaleditions.com/i/778560
Cancellations must be in writing and postmarked by March 1, 2017. All cancellations received after this date are subject to a $75 administrative fee, but you will also receive a $75 coupon good for use against the cost of a Noria training or conference. If you don't cancel and you don't attend, you will be charged the full registration fee. However, a company may substitute one attendee for another, without penalty. Written notice prior to the event is required for substitute attendees. No registration materials will be distributed without payment. Registration Form REGISTRANT INFORMATION Please print your name clearly. Your name and company will appear on your badge. Please photocopy this form for additional registrants. Name _________________________________________________ Title ___________________________________________________ Company ______________________________________________ Address 1 _____________________________________________ Address 2 _____________________________________________ City _______________________ State/Province ____________ Zip/Postal Code ___________ Country ___________________ E-mail (required) _______________________________________ Phone # (required) _____________________________________ METHOD OF PAYMENT Full payment due upon receipt of invoice and prior to conference. Customers outside the U.S.: We accept checks drawn on U.S. banks in U.S. dollars. Check: Check # _________________ is enclosed or will be mailed. Please make check payable to: Noria Corporation Credit Card: Visa MasterCard AmEx Discover Noria Corporation is authorized to charge the credit card below for my conference registration fees in the amount indicated on this form. Card # _________________________________ Exp. ________ Name on Card _________________________________________ Cardholder's Signature ________________________________ Bill Me/Company: P.O. # _______________________________ Total number of people registering: _____________________ TOTAL PAYMENT DUE: $ ________________________________ CONFERENCE FEES INDIVIDUALS Full-Conference Registration (until Feb. 22, 2017) Full-Conference Registration ..................................... $995 Full-Conference Registration + Certificate Program . $1,295 1-Day Registration Individual 1-Day ......................................................... $395 Individual Exhibition Hall Only ......................................$95 Spouse/Family Members (Must accompany full- conference registration attendee, see website for more details) ____ (Qty.) Spouse/Family ........................................ $195 each GROUPS Group discounts include a 30-percent discount on pre- and post-conference workshop fees and must be purchased at the same time. (Save until March 3, 2017) ____ (Qty.) 3-9 Full-Conference Registrations ..........$795 each ____ (Qty.) 10+ Full-Conference Registrations ..........$695 each WORKSHOPS Without Full Registration ........................................$295 each With Full Registration .............................................$225 each Pre-Conference Workshop (Limited Availability) ____ (Qty.) Designing & Procuring Equipment to Increase Reliability ____ (Qty.) 5 Things You Need to Know to Become an Effective Hydraulic Troubleshooter ____ (Qty.) How to Achieve Maintenance Planning Excellence ____ (Qty.) How to Integrate Multiple Condition Monitoring Technologies for Maximum Reliability Post-Conference Workshop (Limited Availability) ____ (Qty.) Lubrication Excellence Essentials for Leaders ____ (Qty.) Situational Leadership: How to Diagnose Employee Performance Issues SPECIAL EVENTS Honda Facility Tour (Limited Availability) ____ (Qty.) Wednesday, April 26, 5:30-9:00 p.m. ...........$75 each Non-Denominational Offsite Prayer Breakfast ____ (Qty.) Wednesday, April 26, 7-7:50 a.m. ..................$5 each Register online at Conference.ReliablePlant.com Call (M-F, 8-5 p.m. CST) 918-392-5038 Fax your registration form to: 918-746-0925