NIBA Technical Seminar Registration

Key Principles & Best Practices of Lightweight Belting
October 10-11, 2017
Grand Rapids, MI

If you are registering multiple attendees, you will need to fill out the registration form for each individual. Please be sure to select the pricing option for multiple attendees. Contact the NIBA office at staff@niba.org with any questions.

Attendee Name: *

Attendee Title: *

Attendee Email: *

Supervisor Name:

Supervisor Title:

Supervisor Email:

Company: *

Address: *

City/State/Zip: *

Phone: *

Years of Experience:

Industries Served:

What do you hope to gain from this class?

Registration - Early Bird Rate before 9/19 *

Distributor Member (one attendee from member company) ($595.00)

Distributor Member (two+ attns from member company) ($535.50)

Manufacturer/Affiliate member (one attendee from member company) ($645.00)

Manufacturer/Affiliate member (two+ attend from member company) ($580.50)

Non-Member (one attendee from company) ($770.00)

Non-Member (two+ attns from company) ($693.00)

Current Total:

$0.00

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