Monday, May 7 - Lightfair International

REGISTRATION FORM
registrant information
1
Please print or type all information as you wish it to appear on your badge.
Valid government-issued picture id must be presented on-site for admittance.
first name last name
comPanY
JoB title
address
citY state ZiP
ProVince / Postal code / countrY (if applicable)
daYtime Phone cell Phone*
email
in which hotel are You staYing?
do You reQuire sPecial ada assistance? (Please specify)
2
attendee Profile information (check appropriate boxes)
i. ProfeSSion (CheCK one onLY)
❑ architect
❑ consultant
❑ contractor (electrical)
❑ contractor (general)
❑ distributor (lighting)
❑ distributor (electrical)
❑ educator
❑ electrical engineer
❑ energy consultant / specialist
❑ engineer
❑ esco
❑ facility manager / owner
❑ government official
❑ interior designer
❑ landscape architect / designer
❑ lighting designer (architectural)
❑ lighting designer (theatrical)
❑ lighting retailer / retailer
❑ manufacturer – eXhiBiting
❑ manufacturer – non-exhibiting
❑ media sales
❑ oem
❑ representative / sales rep
❑ retail designer / store Planner
❑ urban / regional Planner
❑ Visual merchandiser
❑ specifier
❑ student id# _____________
college ________________
❑ other: _________________
ii. whiCh inDUStrY Do YoU worK for / in –
or SPeCifY ProDUCt for? (UP to 3 anSwerS)
❑ commercial & office Buildings
❑ computers (& Peripherals)
❑ consumer / electronics
(appliances, televisions,
audio, etc.)
❑ educational facilities
❑ facility & real estate
management
❑ government (not military)
❑ hospitality (hotels, casinos,
restaurants, spas, etc.)
❑ industrial (construction,
electrical contracting, etc.)
❑ medical (hospitals, nursing /
assisted living, equipment, etc.)
❑ military (incl. aerospace,
security, equipment, etc.)
❑ religious
❑ residential
❑ retail
❑ theatrical
❑ transportation
(auto, planes, trains, rV’s,
motorcycles, airports,
railway systems, etc.)
❑ n/a – this does not apply to me
❑ other - Please specify industry:
_____________________
_____________________
iii. $ aMoUnt of ProDUCtS SPeCifieD
annUaLLY (CheCK one onLY)
❑ under $1 million
❑ under $5 million
❑ under $10 million
❑ under $25 million
❑ more than $25 million
❑ n/a - i do not specify product
NoTE: Please TYPE or PRINT
*Complete to receive on-site changes and LFI updates
iV. ProDUCt intereSt (MULtiPLe anSwerS aLLoweD)
what products are you interested in seeing at lfi?
❑ Ballasts
❑ Building integration
❑ components
❑ controls and control software
❑ daylighting Products
❑ decorative lighting
❑ exterior luminaires
❑ industrial lighting
❑ interior luminaires
❑ lamps
❑ led lighting
❑ other: _______________________________________
____________________________________________
V. are YoU an inDiViDUaL MeMBer of:
❑ aee
❑ aia
❑ ala
❑ asid
❑ asla
❑ Boma
❑ caBa
❑ dlf
❑ other: __________________________________
❑ aia member # (required) _________________________
Vi. iS YoUr CoMPanY eXhiBiting at
Lightfair ® thiS Year?
❑ Yes
❑ no
Vii. are YoU a firSt-tiMe attenDee?
❑ YeS
❑ no
regIStratIon form page 1 of 2
CourSE
rEGISTrATIoN
NExT PAGE
❑ iald
❑ ieee
❑ ies
❑ ifma
❑ iida
❑ naed
❑ usgBc
❑ if no, list the years you attended: ___________________________
___________________________________________
tiP from the team:
for eaSy regIStratIon, register online at www.lightfair.com.
WWW.lightfair.CoM 48