Vibration Institute - Piedmont Chapter #14

Meeting Registration Form
 

Meeting Dates:        Friday, February 17th, 2012

Location:                   The Speedway Club At Charlotte Motor Speedway  
                           
5555 Concord Parkway South
, Concord, NC
                            www.gospeedwayclub.com

                                

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
February 10th, 2011

Not Registered

Members

$40

$50

Non-Members

$50

$60

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 2011 page of the website.

We hope to see you at the meeting!!