conference brochure - Society for Maintenance & Reliability ...

Registration Register online at www.smrp.orgSTEP 1: REGISTRATION INFORMATIONPlease submit a separate form for each registrant.First Name: ____________________________________________Last Name: ____________________________________________First Name for Name Badge:Designation(s): __________________________________________Title: _________________________________________________(check one):STEP 3: CONFERENCE FEESAll rates shown are per personSMRP Member RegistrationEnter GroupDiscount Code*Early Bird(on/before Sept. 7)Regular Rates(after Sept. 7)- -Total*If you have been given a group discount code, please enter above in the totalcolumn. Group discount codes only apply to conference registration fees,not membership fees, facility tours, workshops, special events, or exam fees. Practitioner Industry Partner Consultant Academic Student Government Employee Military Employee OtherCompany/Organization: ___________________________________Mailing Address 1: _______________________________________Mailing Address 2: _______________________________________City, State/Province: ______________________________________Zip/Postal Code: ________________________________________Country: ______________________________________________Citizenship: ____________________________________________Phone: ________________________________________________Fax: __________________________________________________Email: ________________________________________________Dietary Restrictions: ______________________________________Is this your first conference? ____Y ____NPursuant to the Americans with Disabilities Act (ADA), do you requirespecial arrangements? ___ Y ____NIf you require any special arrangements, please contact Marella Bivinsat mbivins@kellencompany.com.STEP 2: MEMBERSHIP DUESPlease Note: You DO NOT have to be an SMRP member to attend the conference,however, discount rates are reserved for active SMRP members.Renewing members: Pay next year’s dues TODAY!New Membership Cost TotalOne Year ExecutiveMembership- $1,250One Year IndividualMembership- $125Three Year IndividualMembership- $250MembershipCostRenewalOne Year ExecutiveMembership- $1,250One Year IndividualMembership- $125Three Year IndividualMembership- $250MEMBERSHIP DUES FEE(S) TOTALTotalSMRP MemberIndividualRegistrationSMRP Executive/IndividualMember 10%discount 5-10 attendeesSMRP Executive/Individual Member15% discount 11-20attendeesSMRP Executive/IndividualMember 20%discount20-plus attendeesIndividual Non-MemberRegistrationNon-Member 10% discount5-10 attendeesNon-Member 15% discount11-20 attendeesNon-Member 20%discount 20-plus attendees$825 $970$740 $873$700 $825$660 $776$975 $1,120$880 $1,008$830 $952$780 $896STEP 4: FACILITY TOUR AND WORKSHOPSFacility Tours (Space is limited)Includes transportation Cost TotalFT1: Walt Disney World: Behind the LaundryLogistics ScenesThursday, October 18$951:00-4:00 p.m.FT2: University of Central Florida CMMSThursday, October 18$951:00 – 4:00 p.m.FT3: Universal Studios: A Look at How itAll Works!$150Thursday, October 18 6:00 – 9:00 p.m.FT4: Walt Disney World: Behind the MaintenanceScenes & Keys to the KingdomFriday, October 19 (Including lunch)$3258:00 a.m. – 4:00 p.m.Disney’s Approach to BusinessExcellenceMonday, October 15 (Including lunch)$17512:00 – 1:45 p.m.22