2011 Pipeline Safety
Educational Conference
April 12-14 2011

Breezy Point Resort
9252 Breezy Point Drive, Breezy Point, MN 56472

Exhibitor Conference Registration

Register by March 31, 2011

Lodging check-in and conference registration will take place in the lobby area at Breezy Point. All conference sessions and meal functions will be held in the conference center vicinity. Wireless internet is also available.

The fee for attending this conference is $200.00, which includes an 8' skirted table, 2 chairs and optional standard electrical outlet - this covers 2 booth attendees. Each additional booth representative will be charged a fee of $50.00. This fee covers entrance to all conference sessions.

Please complete this form and submit electronically.
Organization Name:
First Name:
Last Name:
First Name:
Last Name:
Address:
Address 2:
City:
State: Zip Code:
Phone:
Email Address:
Additional # of Representatives:
Electrical Outlet:
Booth Setup:
Yes
No
Full Booth
Tabletop
If you have any special requests, please indicate:

Upon submission of this form, Groebner & Associates will be invoicing you for the amount due. If you have questions, please call Deana Jeske at 763-295-5355, fax 763-295-5360 or email at djeske@groebner.com

If you need to ship your display ahead of time, please send to the following address:

Breezy Point
9252 Breezy Point Drive
Breezy Point, MN 56472

LODGING PACKAGES: You must register for Breezy Point lodging/meal packages directly with Breezy Point. They have different options available for attendees and exhibitors.