REGISTRATION FORM

Thank you for your interest in the 2013 Painting Technology Workshop that we have prepared for you. Please complete the following registration form. Registration is REQUIRED to attend the workshop and the REGISTRATION FEE is $850.00 (USD). Presenters' registration is free but they must register. We allow one free workshop registration per presentation.

CANCELLATIONS / REFUNDS

Registration fee may be transferred to another colleague without charge. Regarding refund of fees, we must receive notification in writing no later than September 29th, 2011. We regret that we cannot process any refund for cancellations following that date. There is a $200.00 handling charge for all cancellations. Please allow six to eight weeks after the conference for processing.

INSTRUCTIONS

Sandra Dunn
Events & Business Development Manager
Institute of Research for Technology Development (IR4TD)
220M RMB Building
Lexington, KY 40506-0108
Voice: +1-859-257-4886
Fax: +1-859-257-2721
E-mail: sdunn@engr.uky.edu
PERSONAL INFORMATION
Name*
Preferred Name on Tag
Job Title
Job Title Description
Address*
Department
Organization
Daytime Phone*
Fax
Email Address*
Special Needs (Diet, Handicap Access, etc.)
Primary Business / Industry
Author Audio / Visual Requirements
Job Function
REGISTRATION OPTIONS
Participate in the Worksop
Registration fee is $850.00 (USD).
Present in the Workshop
Registration fee is Free.