UTV University 2017 | Page 11

REGISTRATION FORM ATTENDEE INFORMATION DEMOGRAPHIC INFORMATION (one form required per attendee) Check one that best describes your business. Name: o 10 Dealer - Equip. Serv./No Retail o 11 Servicing Dealer o 12 Equipment Rental Dealer o 13 Retailer/Merchandiser/Buyer o 14 Lawn & Garden Center o 15 Distributor of Lawn & Garden Products o 16 Power Sports Retailer o 17 Non-Exhibiting Manufacturer/ Title: Company: Supplier/Media Sales/Agencies** o 19 Editor/Publisher **Through Sept. 7: $350, Sept. 8-Oct. 15: $400, onsite: $450. Address: City: State: Zip: REGISTRATION DEADLINES Phone: ( ) Fax: ( Early-bird: Register by Sept. 7, 2017 and pay only $15** per person. Sept. 9 – Oct. 15, 5PM Eastern time, and pay $30** per person. Register onsite and pay $60** per person. ) Country if outside the U.S.: Email Address: REGISTRATION DETAILS Children under 16 must be accompanied by an adult at all times. Pick up a free badge for them onsite. Children 16 and over must register at the adult price. Must have valid drivers' license to operate equipment. Photocopy this form for additional registrations. Print clearly in black ink. After Oct. 9 fees are nonrefundable. See FAQs at www.gie-expo.com for refund policy. Exhibitors: Please use the form for your customers only. EDUCATIONAL & OPTIONAL EVENTS DEALER EVENTS COST DEALER ¡ WED 9 AM - 3 PM $ $0 UTV UNIVERSITY AND DEALER BOOT CAMP SESSIONS ARE FREE, NO REGISTRATION NECESSARY! Dealer & UTV Retailer Box Lunch Special – Employee Compensation ¡ 150-2 WED Noon - 1:15 PM $25 PAYMENT INFORMATION TRADE SHOW PASS: Through 9/7/17 $15 ea. | Through 10/15/17 $30 ea. | After 10/15/17 $60 ea. or – Non-exhibiting Manufacturers/Suppliers/Ad Agencies/Media Sales: Through 9/7/17 $350 ea. | Through 10/15/17 $400 ea. | After 10/15/17 $450 ea. $ Educational & Optional Events $ TOTAL FEES (Checks should be made payable to GIE+EXPO.) CREDIT CARD INFORMATION Type of card: o Master Card o Visa Card #: Name: Exp. Date: Signature: o American Express Total from above $ PLEASE RETURN COMPLETED REGISTRATION FORM & PAYMENT TO: GIE+EXPO 2017 c/o Sellers Expositions P.O. Box 139 New Albany, IN 47151 USA Or Fax: (812) 949-9600 (If you fax your form, please don’t follow up by mail.)