Vibration Institute - Piedmont Chapter #14

Meeting Registration Form

Meeting Dates:        Friday, September 17th, 2010

Location:                   Lake Logan Episcopal Center
                                   154 Suncrest Mill Rd.
                                   Canton, NC  28716

 

First Name:   

Last Name:   

Company:   

Phone Number:   

E-mail Address:   

Mailing Address: 

            Street: 

            City:   

            State:   

            Zip Code:   

 

Will you be wanting a vendor table?    Yes        No        Vendor tables must be pre-paid.  Please the fee schedule below for the cost of vendor tables.

Are you a member of the Vibration Institute?    Yes        No

Are you already receiving e-mail and postage announcements from us or would you like to be added to our mailing list?

 

Are there additional persons you would like to register for the upcoming meeting?  If so please list their names and/or any other information you wish to tell us below.

 

Membership:
Vibration Institute membership can be obtained at the meeting.  Annual dues are $75. 
Members receive a discount on all meeting fees and an annual subscription to Vibrations Magazine.
For more information on becoming a chapter member, please visit our members page.
 

Meeting Fee Schedule: 

  Pre-Registered By
September 10th, 2010
Not Registered
Members $35 $45
Non-Members $45 $55
Vendor Tables $50 $60

If you wish to pre-pay for the meeting, please send all checks to:

            Vibration Institute
            PO Box 401
            Catawba, SC
            29704

Please make all checks payable to:    Vibration Institute, Piedmont Chapter#14

Refunds will be made only if cancellations are received prior to the meeting.
 

NOTE:    If you don't see the confirmation page appear after you hit the "Submit" button below, unfortunately, your information didn't go thru. 
If this happens, please just send your information via e-mail to any of the chapter officers listed in the Officers 2010 page of the website.

We hope to see you at the meeting!!