ISRI2017 Attendee Registration Form

ISRI2017 Attendee Registration Form
By registering to attend, you hereby agree to the terms and conditions
set forth on this form.
Questions? Email [email protected] or call (202) 662-8500
2017 Attendee Information
 This is my first ISRI Convention
 Remove my name from published preregistration lists
Name First
Last
Name (for badge)
Title
Company (for badge)
Branch/Affiliation (if applicable)
Company Address
City
State/Province
Office Phone
MEMBERS
Country
Fax
Confirmations will be sent via email to the address above.
Email
FOR OFFICE USE ONLY
Early
Regular
Late
Onsite
to Jan. 31
Feb. 1 to Mar. 21
Mar. 22 to Apr. 21
After Apr. 21
Batch #
CC Auth.
Full Registration:  Attendee  Exhibitor  Spouse/Partner
 I intend to participate in the Paper Summit Program Apr. 26-27
 $845
 $945
 $1,045
 $1,095
Date Rcd
Refunded
Trade Show Only (Access ONLY on Apr. 25 and 26)
 $500
 $550
 $600
 $625
Amount
Ref. Amt
2017 Attendee Registration Fees
ISRI
Zip/Postal Code
TO COMPLETE YOUR REGISTRATION
Social Badge (limit 1 per FULL registration) This registration allows
enter into the Opening Reception on Apr. 24, the Closing Night on Apr.
27, and the Just for Fun programs ONLY. No entry to the Exhibit Hall
on 4/25 or 4/26 or to any other workshops or general sessions.
 $495
Child Full Registration (Ages 2-16)
 $275
 $275
ISRI Jazz Festival at Mardi Gras World - Adult Guest (Avalable to
FULL registrations only)
 $200
ISRI Jazz Festival at Mardi Gras World - Child Guest (Avalable to
FULL registrations only)
PSI Paper Summit Only - Allows access to Paper Summit programs
on 4/26 and 4/27 and the Paper/Plastic Consumer Reception on 4/26.
More info at www.GoPaperSummit.com
 $550
CREDIT CARD PAYMENTS
PAYMENT BY CHECK
 $275
 $300
 $225
 $250
 $275
ONLINE: www.ISRIConvention.org
BY FAX: 202-624-9257
For your protection, please DO NOT
email registrations containing
credit card information!
Mail form and check to:
ISRI Convention
P.O. Box 75245
Baltimore, MD 21275-5245
 $100
 $125
 $150
 $175
For wire payment instructions, please email [email protected].
 $260
 $280
 $330
 $330
If you have special needs as addressed by the Americans with
Disabilities Act (ADA) or dietary concerns, please list here:
 $1,375
 $1,475
 $1,575
 $1,625
 $750
 $800
 $850
 $875
 $495
 $495
JOIN ISRI AND SAVE! www.ISRI.org/JoinISRI
Full Registration:  Attendee  Exhibitor  Spouse/Partner
 I intend to participate in the Paper Summit Program Apr. 26-27
NONMEMBERS
Trade Show Only (Access ONLY on Apr. 25 and 26)
Terms and Conditions:
Social Badge (limit 1 per FULL registration) This registration allows
enter into the Opening Reception on Apr. 24, the Closing Night on Apr.
27, and the Just for Fun programs ONLY. No entry to the Exhibit Hall
on 4/25 or 4/26 or to any other workshops or general sessions.
 $495
 $495
 $495
 $550
Child Full Registration (Ages 2-16)
 $400
 $400
 $400
 $425
ISRI Jazz Festival at Mardi Gras World - Adult Guest (Avalable to
FULL registrations only)
 $225
 $250
 $275
 $300
ISRI Jazz Festival at Mardi Gras World - Child Guest (Avalable to
FULL registrations only)
 $100
 $125
 $150
 $175
PSI Paper Summit Only - Allows access to Paper Summit programs
on 4/26 and 4/27 and the Paper/Plastic Consumer Reception on 4/26.
More info at www.GoPaperSummit.com
 $330
 $365
 $400
 $400
Promotion Code: _______________
Total Amount Due: $ _____________
PAYMENT INFORMATION - All registrations must be accompanied by full payment or credit card information. Print registrations
must be received by ISRI by April 7. After that date, please register online or onsite in New Orleans. All payments should be made in U.S. Dollars.
 MasterCard
Card #
Print Name
Billing Address
Signature
 Visa
 American Express
 Check payable to ISRI enclosed
Exp. Date
By submitting this registration, I hereby affirm that I am the individual named on this registration and/or I have the authority to agree to the terms and conditions on behalf of the named
individual. By completing this registration form, I have been fully informed of ISRI’s consent,
waiver of liability, and release policy before entering the event and I do accept the terms and
conditions individually or on behalf of the individual named in this registration application.
While attending the 2017 Institute of Scrap Recycling Industries (ISRI) Convention and
Exposition (ISRI2017), you will be entering areas where photographs, motion pictures,
videos, and/or audio recordings will be taken or captured that may include your photographic
likeness, image, and/or voice. By entering the Convention and Expo premises and/or by your
participation at this event, you are consenting that any such photograph(s), video(s), motion
picture(s) and/or audio recording(s) of your likeness, image, or voice captured at ISRI2017,
or any related event thereto, may be reused, in whole or in part, without restriction or
limitation, for any educational or promotional purpose by ISRI or for distribution online and
printed publications or other media by ISRI as it reasonably determines without your further
consent or approval. You further understand and grant that all right, title, and interest in and
to the same, including all copyrights and licensing and sublicensing rights therein, to ISRI,
free from any claims, royalties, or liens whatsoever. You also release ISRI, its officers,
directors, employees, contractors, and all other such persons involved in the recordings
from any liability connected with the taking, recording, digitizing or publication of interviews,
photographs, computer images, video, and/or sound recordings.
Admission credentials remain the property of ISRI and may be revoked by ISRI in its sole
discretion if the credentials are deems to be used fraudulently or if holder is believed to be in
violation of the Convention and Expo policies.
Refund Policy
ISRI may provide a full refund for cancellations requested prior to March 22, 2017, less a
set administrative fee. For cancellations requested on or after March 22, 2017, ISRI may
provide a refund of fifty percent (50%) of the registration fee. All requests must be made in
writing before May 12, 2017 to be considered. Read ISRI’s complete refund policy at www.
ISRI.org/refund.