ODVA TechnologiesRegistration Form

Training for CIP Safety Product Developers

Please complete this form in the English language and submit to ODVA to register.

Note: * = Required fields

Step 1. Provide Attendee Information
Company Name  *
Given (First) Name  *
Family (Last) Name  *
Title  
Email  *
Phone Number  *   Extension
EtherNet/IP Vendor ID  
Company Address  *
City   State/Province
Zip/Post Code   Country  *
Step 2. Indicate Membership Status and Register  *

Early Bird rate of $675 members / non-members; available through September 30, 2019.

* Register Attendee for October 7 Training for CIP Safety Product Developers USD $

My company is an ODVA member *      

Lunch will be provided.

Step 3. My Interest in This Event  *

*2a. How did you hear of this event? (fill in the blank)

*2b. Do you have experience with developing other CIP Network products? 

      Yes     No          If so, for which network?


*2c. With respect to the ODVA technology features at this event, my company is (choose one):

   

Other

Step 4. Complete Payment Method and Details*

Total Amount Due US$

Please select and complete one of the following payment methods. Payment in full via credit card or wire transfer is due at the time of registration and must be made in advance of attendance. For payments made by credit card, ODVA will charge your card for the event in U.S. dollars at ODVA's current conversion rate for the local currency fee. Thus, the actual charge for this event that appears on your credit card statement will be the result of the combined effects of currency conversion rates both by ODVA and interbank transfers.


Please transfer total amount indicated above, net of transfer fees. Transfer fees are charged to applicant.

      Select currency   USD   EUR   JPY   KRW

Bank account and routing information will be provided on ODVA invoice.

ODVA will charge your credit card for the event in U.S. dollars. Note that the final charge on your card may include additional charges by your bank for currency conversion.

1. Enter card type
2. Enter card number
3. Enter expiration date
4. Enter name as it appears on the card

Step 5:   Verify Billing Details

Is your billing name and address the same as above in Step 1 for invoicing or payment processing? *


Please enter your billing information below.

Billing Name (Entity name as it should appear on invoice)  
Billing Email  
Billing Address  
City   State/Province
Zip/Post Code   Country  
Step 6. Submit Form Electronically

Please complete this form and submit it using the button below.

Attendee registration is limited due to class size and will be filled in order of receipt of registration. This event is subject to a minimum number of participants.   Confirmation of registration and additional details will be provided prior to the class.

Registrations are non-cancelable and non-refundable after the registration deadline of September 30, 2019.



By submitting this form, you agree to receive electronic communications from ODVA. To stop receiving communications from ODVA, please contact odva@odva.org.

For more information about your order or quote, please contact ODVA Headquarters.

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