Seminars & Conferences – Manufacturers’ Education Council

Please register me immediately for the following program:

Part I: Company Information
* required information

Part II: Registrant Information

Attendee:
Name*
Title*
E-Mail Address*
Workshop Preferences (if applicable)
Attendee 2 (Optional):
Name
Title
E-Mail Address
Workshop Preferences (if applicable)
Attendee 3 (Optional):
Name
Title
E-Mail Address
Workshop Preferences (if applicable)

Part III: Payment Information

Discount Rate	If applicable, please enter your discount rate due to multiple attendees from one organization:

Payment*	Invoice My Company OR Charge This Credit Card
	Card Type: Account Number: Expiration Date: / Three Digit Code from back of card (Visa and MC only):

If you received a program brochure in the mail, please enter the
priority code found on the mailing label:

Please enter any special instructions (special needs, meal requirements, payment details, etc.)
to help us serve you better:

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