2024 Plant Engineers Forum for Nonmetallics Event Registration

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Thank you for your interest in this year's Plant Engineers Forum! Please fill out the form below to secure your spot.

Please register each person separately.

Event Timing: May 15 -16, 2024
Event Address: Embassy Suites - 202 N Tamiami Trail, Sarasota, FL 34236

For any questions, call (941)-721-1800 or email us at marketing@mas-mss.com

Email *

First Name *

Last Name *

Name to appear on badge (if different)

Are you a Professional Engineer? *

Yes

Please identify your company category *

Plant End User

Engineering Firm

Vendor Fabricator

Supplier

Company Name *

Job Position/Title *

Company Address *

City *

State *

Zip *

Office Phone *

Cell Phone *

Fax

Special Accommodations

Emergency Contact Name *

Relationship *

Emergency Contact Phone Number *

***THIS EVENT IS FREE FOR OWNERS/OPERATORS/DESIGN ENGINEERS. IF YOU FALL INTO THE CATEGORY OF VENDOR/SUPPLIER/OTHER, THE REGISTRATION COST IS $500***

Conference Registration Fee includes a welcome reception Tuesday evening, May 14th, an evening social networking event on Wednesday, May 15th, lunch for both days of the forum, PLUS snacks and beverages throughout both days of the Forum.

Please provide your payment information below. (JUST FOR VENDORS/SUPPLIERS/OTHER)

All payment information is private and is securely processed through Square. You will receive a receipt via email once the payment has been processed.

Alternatively, you may mail a check to 1915 24th Ave E, Palmetto, FL 34221 made out to Maverick Applied Science.

Card Number

Expiration Date

3-digit security code

Zip Code

A copy of your responses will be emailed to the address you provided.

Submit

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