ODVA TechnologiesRegistration Form

2018 Industry Conference & 19th Annual Meeting of Members

Please complete this form in the English language and submit to ODVA to register for the Conference, Roundtable, or both.

Note: * = Required fields

Step 1. Complete Your Attendee Profile

Please provide the name and contact details of the individual who will attend.

Given (First) Name  *
Family (Last) Name  *
Company Name  *
Street Address  *
City  *
State/Province   Zip/Post   Country  *
Phone with Country Code  *  Fax  
Email  *

Please select your preferred shirt size: *

Small   Medium   Large   XL 2XL 3XL

XSmall   Small   Medium   Large   XL 2XL

Step 2. Indicate Membership Status *

My company is an ODVA member *      

Step 3. Register

Please select from the following options.

2018 Industry Conference & 19th Annual Meeting of Members US$
        The registration fee of $1,295 includes: 
        • ODVA 2018 Industry Conference
        • Attendance at Eligible Sessions (Except ODVA Roundtable for EtherNet/IP)
        • Breakfast and Lunch on Days for which Attendee Registers for Events
        • Meet and Greet on Tuesday Evening, October 9, 2018
        • Conference Reception and Dinner on Wednesday Evening, October 10, 2018
        • Lodging in Standard Suite (including Room, Tax, and Mandatory Resort Fee) at
          Atlanta Evergreen Marriott Conference Resort on the Nights of
          Tuesday October 9 and Wednesday October 10, 2018.
Room rates are for single or double occupancy.
ODVA Roundtable for EtherNet/IP, October 8 ($375) US$
        Roundtable is 9:00 am to 4:00 pm on Monday.
        Attendees will also need to order additional nights lodging
        for Monday by selecting the order options below.
Discount for Attending Both Roundtable and Industry Conference US$
        Discount of $150 applies if you are attending both the ODVA Roundtable
        for EtherNet/IP and the 2018 Industry Conference & 19th Annual
        Meeting of Members.
Additional Room Nights (Based on Availability; Rates Include Tax and Resort Fees)  
Additional lodging on night of Saturday October 6, 2018 ($250) US$
Additional lodging on night of Sunday October 7, 2018 ($250) US$
Additional lodging on night of Monday October 8, 2018 ($250) US$
Additional lodging on night of Thursday October 11, 2018 ($250) US$
Additional lodging on night of Friday October 12, 2018 ($250) US$
Additional lodging on night of Saturday October 13, 2018 ($250) US$
Step 4. Complete Payment Method and Details*

Total Amount Due US$

If you have requested additional night's lodging in step #3, ODVA will confirm room availability.

Please select and complete one of the following payment methods. Payment in full via check, credit card, or wire transfer is due at the time of registration and must be made in advance of attendance. For payments made by check, payment must be made in U.S. dollars drawn on a U.S. bank. Payments made by credit card will be processed in U.S. dollars.

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

1. Enter check number
2. Select method of delivery of check first class mail    courier
3. Purchase order number (if applicable)
4. Separately send the check to:
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

Registrations are non-cancellable and non-refundable after the registration deadline of September 13, 2018. Due to contractual obligations with the Marriott, we regret that no exceptions can be made to allow refunds after this date.

Thank you.

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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