Registrations canceled before February 19, 2020, will receive a full refund. Cancellations made after February 19, 2020, are subject to a $75 administrative fee. Cancellations after March 5, 2020, are not eligible for refunds. However, you may send a colleague in your place. If you are unable to send a colleague, the entire registration fee will be forfeited. Refunds may be granted if an attendee is unable to attend due to a family death, illness, or other extraordinary circumstance. In such a circumstance, Noria must be contacted by phone prior to the start of the conference. Refunds will still be subject to the $75 service charge. CONFERENCE FEES INDIVIDUALS Full-Conference Registration Full-Conference Registration .................................. $1,395 Full-Conference Registration + Certificate Program . $1,695 Certificate Program (Limited availability, one per student) Change Leadership Maintenance Management Reliability Engineering Predictive Maintenance 1-Day Registration Individual 1-Day ......................................................... $550 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. ____ (Qty.) 3-9 Full-Conference Registrations ....... $1,095 each ____ (Qty.) 10+ Full-Conference Registrations .......... $995 each Registration Form 2 0 2 0 Register online at conference.reliableplant.com Call (M-F, 8 a.m. - 5 p.m. CST) 918-392-5038 Fax your registration form to: 918-746-0925 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. Make check payable to: Noria Corporation Credit: 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: $___________________________