2017 Perlite Institute Annual Meeting Registration Form


Join the Perlite Institute as we visit Budapest, Hungary. This year's program includes top-notch speakers and valuable information that you will take back to your business. Register today and don't miss this great opportunity for education and networking!


Contact Information


All Fields Marked (*) are mandatory

Name*

Company Name*
Address*
City*
State*
Zip*
Country*
Email*
Phone*
Fax

Registration Details*

(Please enter the names of all attendees and select their registration type.)


Attendee Name (as it should appear on badge)
 

Meal Preference:
Standard Vegetarian Gluten-Free

Emergency Contact and Special Needs
Name of non-attending contact:
Phone:
 
Please indicate if you have any special dietary needs or require special accommodations to fully participate:


Please check the events that you will be attending
(The cost is included in your registration fee)

Sunday, October 8 – Budapest Tour
Sunday, October 8 – Reception
Monday, October 9 – Lunch
Monday, October 9 – Reception
Tuesday, October 10 – Lunch and Business Meeting
Tuesday, October 10 – Reception, Annual Dinner and Entertainment
 
ADD-ON Post-Meeting Tour of Perlit92 Ltd in Pálháza, Hungary – $150
This is not included in your annual meeting registration and is an additional fee.

The tour will be held on Wednesday, October 11 and includes transportation to Perlit92 Ltd, lunch, transportation to Kosice, Slovakia and return transportation to Budapest, Hungary on Thursday, October 12. Overnight accommodations in Kosice, Slovakia are not included.
 

If you are not currently a member and wish to attend, you will need to pay the full registration of $1500 plus dues. Dues must be remitted for the first registrant from a company and are based on your category of membership. Please contact the Perlite Institute office at (717) 238-9723 with any questions.


Method of Payment*

Payment By