CONFERENCES & EXHIBITS REGISTRATION FORM
FDIC INTERNATIONAL 2017 | FDIC.COM | #FDIC2017 91
Hands-On Training Premium Package $575 $700
Includes keynote, classroom sessions & exhibits. Select up to 16 hours of
Hands-On Training and/or Pre-Conference Workshops (apply per class fee outlined
below). Class Selections on Registration pages 3 & 4. 4hr Hands-on Training -
$165.00 per class, 8hr Hands-on Training – $265.00 per class and 4hr
Pre-Conference Workshops - $140.00 per class.
Two-Day Hands-On Training & $215 $325
Pre-Conference Workshops Only
Access to register for Pre-Conference Classes Only. (DOES NOT INCLUDE
CLASSROOM SESSIONS OR EXHIBITS). Select up to 16 hours of Hands-On
Training and/or Pre-Conference Workshops. Class Selections on Registration pages
3 & 4. 4hr Hands-on Training - $165.00 per class, 8hr Hands-on Training – $265.00
per class and 4hr Pre-Conference Workshops - $140.00 per class
Two-Day Hands-On Training & $275 $385
Pre-Conference Workshops + Exhibit
Access to register for Pre-Conference Classes plus access to the Opening Ceremony
& 3 days of Exhibits (DOES NOT INCLUDE CLASSROOM SESSIONS)Select up to
16 hours of Hands-On Training and/or Pre-Conference Workshops. Class Selections
on Registration pages 3 & 4. 4hr Hands-on Training - $165.00 per class, 8hr Hands-on Training – $265.00 per class and 4hr Pre-Conference Workshops - $140.00 per class
Individual Full Conference $575 $700
Includes all general sessions, classrooms & exhibits
Wed. – Sat., April 26-29
One-Day Conference $340 $405
Includes general session and classrooms on selected
Exhibit Package $60 $85
day only & all three days of exhibits
Wed., April 26 Thurs., April 27 OR Fri., April 28
Includes exhibition only all exhibit days.
Thurs. – Sat., April 27-29
One-Day Exhibits Only $40 $70
Includes exhibits on selected day only.
Thurs., April 27 Fri., April 28 OR Sat., April 29
Spouse Exhibits Only $30 $30
Includes exhibition only all exhibit days, Thurs. – Sat., April 27 – 29
Name for Badge:
GROUP PLANS Registration Fee
Group Plan 10 (up to 10 members/employees) $5,600
(10% off the price of 10 individual full conference attendees)
Group Plan 20 ( 11 to 20 members/employees) $10,600
(15% off the price of 20 individual full conference attendees)
Larger Group Plans are Available (Contact Registration for Details)
PRICE DOES NOT INCLUDE THE COST OF INDIVIDUAL HANDS-ON
TRAINING CLASSES/PRE-CONFERENCE WORKSHOPS CLASSES.
Registration Fee $
Hands-On Training Class Price from Registration Pages 3 & 4 $
All Registration Fees must be paid in full prior to event for admittance.
Check payable to Penn Well/FDIC17.
Signed purchase order with credit card guarantee.
Please include credit card details below.
Charge my credit card: MasterCard Visa
4 WAYS TO REGISTER
American Express Discover
Name on card
1. Online: www.fdic.com
2. Fax to: +1-888-299-8057
3. Email: firstname.lastname@example.org
4. Mail to: Penn Well/FDIC17
P.O. Box 973059,
Dallas, TX 75397-3059
Questions? Please call: +1-888-299-8016 or +1-918-831-9160
Cancellations must be received in writing on or before March 10, 2017, in order
to receive a refund, minus a $115 administrative charge. After March 10, 2017,
refunds are not available. Substitutions may be made at any time by notifying the
registration office in writing.
STEP BY STEP HANDS-ON TRAINING INSTRUCTIONS
1. Fully complete the registration form.
2. Select Hands-On Training Premium Package or Hands-On Training and
Pre-Conference Workshops Only on page 5.
3. Choose your classes on pages 3 & 4.
4. Total the registration fees and the class fees on the bottom of page 5.
5. Payment is required to reserve H.O. T. classes.
EARLY BIRD* REGISTRATION FEES
(Please select only one of the following) *Early Bird Ends 3/10/17
Blue Card IC Certifcation Simulation Evaluation $1,000 $1,200
(Hands on training premium package included)
Monday, April 24, 8 a.m.- 5 p.m.;
Tuesday, April 25, 8 a.m.- 5 p.m.;
IWomen Conference - Taking charge of change . . . . . . . . . . . $125
Monday, April 24, 8 a.m.- 5 p.m.
Access to IWomen Conference only (Does not include access to FDIC
classroom sessions or exhibits, see registration options below)
3-Day HOT Evolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $530
"Preparing for the Acquired Structure Burn"
Saturday/Sunday ( 14 Students) , April 22-23, 8 a.m. to 5 p.m.
Monday ( 7 Students) , April 24, 8 a.m. to 5 p.m.
Tuesday ( 7 Students) , April 25, 8 a.m. to 5 p.m.
■ Fire Engineering Training Network Discount
Check if you do not wish to receive a 1- year membership to the Fire
Engineering Training Network (includes annual print/digital magazine
subscription ($25 value), as well as access to exclusive membership-only content on FireEngineering.com.