Aggregates Manager Digital Magazine
Issue link: http://read.dmtmag.com/i/440030
III. REGISTRATION AND EDUCATION FEES: QFull Conference Pass includes show badge and entrance to unlimited sessions* $570 $620 $_______________ QThree Session Pass includes show badge and entrance to 3 sessions* $275 $315 $_______________ Q2015 Show Badge—Exhibits Only show badge required to purchase tickets, seminar or tour* $50 $70 $_______________ QSingle Session Tickets may purchase multiple tickets* ______$90 ea. ______$95 ea. $_______________ Advance Standard Total *AGG1 Academy & People, Plants & Paving Training Sessions / Education Sessions Passes or tickets purchased will be valid for any date or time slot taking place for either program. No Pre-Selection of sessions required. Sessions included in show passes are nontransferable. The chip in your badge will be embedded with all education purchases. All badges will be scanned prior to classroom entry. For more information on schedule dates, times and classes being offered refer to brochure or online at www.agg1.org. Through 1/23/2015 After 1/23/2015 II. DEMOGRAPHIC INFORMATION: I. REGISTRANT INFORMATION: One registrant per form. Please note: News Media should use Media Registration Form. First Name ___________________________________ Last Name _______________________________________ Title ____________________________________________ Company/Organization ____________________________________________________________________________ Address __________________________________________________________________________________________________________________________ City ___________________________________ State/Province _______________________________________ Zip/Postal Code ____________________________________________ Country ___________________________________ Telephone _______________________________________ _______________________________________ ___________________________________________ Email (required for automated email confirmation) _____________________________________________________ Age (if under 40) __________________________________________________________________ Q Guest/Spouse Child (Age:_____) If either box is checked, you are not required to answer remaining demographic questions in Section II. Job Title: Q B01 President/Owner Q B02 VP/General Manager/CFO Q B03 Purchasing Q B04 Marketing/Sales Mgmt Q B05 Project Manager Q B06 Equipment/Fleet Mgr Q B16 Estimating Q B17 Foreman/Superintendent Q B18 Equipment Operator Q B19 Maintenance/Mechanic Number of Employees: Q C01 10 or less Q C02 11–50 Q C03 51–100 Q C04 101–250 Q C05 251–500 Q C06 501–1,000 Q C07 1,001 or more Q Total Amount Due (Add badge fee and other selections for total) $___________________ Source Code (from mailer, ad, email, state, etc.) ____________________________________________ Mobile Phone V. PAYMENT INFORMATION: All registrations must be accompanied with payment in full. Payable in U.S. funds only. Check No. _____________________ (payable to AGG1/World of Asphalt) Credit Card Number:________________________________________________________ Expiration Date: ________ / _________ /_________ Name on Credit Card:________________________________________________________ Signature: ______________________________________________________ PLEASE NOTE: Charges will appear on your statement as "AGG1/World of Asphalt" MasterCard VISA American Express ATTENDEE REGISTRATION FORM Advance Deadline: Through January 23, 2015 Customer Service +1 801-676-7952 Online www.agg1.org Fax +1 801-406-0660 Fax AGG1/World of Asphalt Registration C/O ITN International 9696 South 500 West, Sandy UT 84070 For a complete list of all registration policies & show information go to www.agg1.org My primary show interest is: (check only one) A04 World of Asphalt Show & Conference A05 AGG1 Aggregates Academy & Expo A06 Both Shows Q Q Q Q B08 Environmental Mgr Q B13 Plant/Facilities Mgr Answer all questions. Incomplete forms will not be processed. Q B07 Technical/Engineering/Safety Mgr Must Choose One: March 17-19, 2015 | Baltimore | Co-Located at: Badge will include entrance to both shows. Additional Seminar & Tour Options QPlant Tour: Bluegrass Materials Texas Quarry, March 16 (11:00 am - 2:00 pm) $50 $60 $_______________ QYoung Leaders Luncheon (Those Aged 40 and Under), March 17 (12:30 pm - 1:30 pm) $0 $0 $_______________ QAggregates in Action: Growing Forward, March 18 (12:30 pm - 1:30 pm) $0 $0 $_______________ QNoise & Dust 3-Day Workshop, March 19 (7:30 am - 6:00 pm), March 20 (4:00 am - 5:00 pm) & March 21 (8:00 am - 2:00 pm) $595 $645 $_______________ QACRI Workshop, March 19 (1:00 pm - 6:00 pm), March 20 (8:00 am - 4:30 pm) & March 21 (8:00 am - 4:30 pm) $445 $495 $_______________ QBasic Supervisory Training, March 19 (1:00 pm - 6:00 pm) & March 20 (7:30 am- 3:30 pm) $749 $799 $_______________ QStrategic Sales Training, March 19 (1:00 - 6:00 pm) & March 20 (7:30 am - 3:30 pm) $749 $799 $_______________ Type of Business Fill out only 1 of the 6 sections below. F101 Contractor Check all that apply. Q F07 Excavating, Earthmoving, Grading Q F09 Paving Maint. Hwy/Airport Q F10 Paving Maint. Parking Lot/ Driveway/Recr. Q F13 Paving–Hwy/Airport F102 Producer Check all that apply. Q F35A Crushed Stone Q F35B Sand & Gravel Q F35C Pulverized Minerals Q F36 Ready Mixed Concrete Q F14 Paving–Parking Lot/Driveway/Recr Q F19 Rock Drilling & Blasting Q F41 Hot/Warm Mix Asphalt Q F44 Oil Q F80 Equipment Dealer Q F85 Equipment Rental Q F86 Equipment Manufacturer F105 Dealer/Distributor/Rental/ Manuf. (non-exhibiting company) Check all that apply. F103 Public Sector Check all that apply. Q F50 Federal/state Q F51 Provincial/local Q F46 Asphalt Additives Q F47 Asphalt/Liquid Asphalt Q F28 Recycling/Reclaiming F106 Other Q F95 Association F104 Designer/Specifier/Consultant /Services Check all that apply. Q F70 Design Engineer Q F71 Consulting Engineer Q F73 Consultant/Prof. Services Q F74 Computer/Information Tech. Q F75 Material/Testing Q F76 Leasing/Finance