TEXAS811 DAMAGE PREVENTION SUMMIT Embassy Suites Hotel & Conference Center Monday, February 22 – Wednesday, February 24, 2016 San Marcos, TX The Summit Golf Tournament - $85 Monday, February 22, 2016 Registration includes cart, range balls, and boxed lunch. Summit Workshops – Monday, February 22, 2016 • • Competent Person Training - $100 David Dow, TrenchSafety 8:30 a.m. – 4:30 p.m. Utility Locator Training - $250 Bob Nighswonger, Utility Training Academy 9:00 a.m. – 5:00 p.m. Lunch is on your own. For more details on each workshop, please visit website. www.texas811.damagepreventionsummit.com. Summit Sessions – Tuesday & Wednesday, February 23 & 24, 2016 Registration: $299 (Early) $349 (after 01/08/2016) Includes: name badge (required for meals and receptions) and entry to Exhibit Hall and all Tuesday and Wednesday Sessions. • • • • • Meet stakeholders from across the state and from different industries to share perspectives Promote excavation safety and protection of our underground infrastructure Share information on industry trends and technologies Take advantage of valuable networking opportunities Interact in expert led training sessions Join us for the Texas811 Reception in the Exhibit Hall Monday evening at 5:00 p.m. All Summit participants welcome! ROOM RESERVATIONS We have reserved a block of guest rooms at the Embassy Suites Hotel & Conference Center. Room rates are $142 per night. Reservations must be made by January 21, 2016 to receive this rate. Call (800) 445-8667. Use Group Code: Texas Damage Prevention Summit. ATTENDEE REGISTRATION Embassy Suites Hotel & Conference Center Monday, February 22 – Wednesday, February 24, 2016 San Marcos, TX Primary Contact __________________________ Title____________________ Company _________________________________ Address _______________________________________________________________ City______________________ State ________ Zip ____________ Work Phone _____________________ Fax _____________________ Email ___________________ ATTENDEE NAME: Summit (as it would appear on badge) ($299early /$349) Competent Person Training Golf Workshop ($100/person) Utility Locator Training Workshop ($250/person) Damage Investigation Workshop ($100/person) ($85/person) _____ _____ _____ _____ ___________________________ ___________________________ ___________________________ ___________________________ TOTALS: _____ Total Summit Attendees Early (after 01/08/2016) Total Competent Person Training Workshop Total Utility Locator Training Workshop Damage Investigation Workshop Total Golfers ______ x $299 = ______ ______ x $349 = ______ _____ x $100 ______ x $250 ______ x $100 ______ x $85 = = = = ______ ______ ______ ______ Total Amount Due: = _____ Pay by check (Payable to ACTS) Pay by credit card (Enter information or register online at www.texas811.damagepreventionsummit.com) Credit Card #___________________________ Exp. Date___________ Security Code _________ Name on card __________________________________________________________________ Billing address (if different from above) ________________________________________________ Charge will show as ACTS NOW on statement Terms & Conditions: Attendees cancelling before January 21, 2016 will receive a refund of their fees, less a non-refundable $100 deposit. No refunds will be issued after this date. Please send completed form to: ACTS Now, Inc. PO Box 644 Conway, AR 72033 Fax (501) 548-6969 For more information visit www.texas811.damagepreventionsummit.com, call ACTS at 888-548-6363, or email [email protected].
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