2010 Pipeline Safety
Educational Conference
April 14-16, 2010

Madden's on Gull Lake

Exhibitor Conference Registration

Register by March 30, 2010

Lodging check-in and conference registration will take place in the lobby area at Madden's. 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 $300.00, 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 $100.00. This fee covers entrance to all conference sessions.

Please complete this form and submit electronically.
Organization Name:
Names of booth representative (for name badges):
First Name:
 Last Name:
First Name:
 Last Name:
Address:
Address 2:
City:
 State:

 Zip:
Phone:
 Email Address:
Booth Fee = $300.00 Additional # of representatives:
Electrical Outlet:
Yes
No
 Booth Set-up:
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:

Madden's on Gull Lake
Attn: Pipeline Safety Conference
11266 Pine Beach Peninsula
Brainerd, MN 56401

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