Attendee Registration

2016 SePRO Preferred Applicator Business Seminar

October 11-14, 2016

Registration Closes
September 9, 2016

The 2016 SePRO Preferred Applicator Business Seminar will be held at the SePRO Research & Technology Campus (SRTC) in Whitakers, NC, on October 11-14, 2016. This is a very hands-on Aquatics Advanced Skills Training Program. The interactive business seminars will include presentations on the latest technical, research, and business developments, management practices, and industry updates.

EACH INDIVIDUAL must complete a registration.

Note that items with an * are required fields.

ATTENDEE INFORMATION
Attendee Name (First & Last) *
Attendee Name (First & Last)
Please select your registration type *
Please provide the address to be used when sending trip-related materials to you*
Please provide the address to be used when sending trip-related materials to you*
Daytime Phone Number (include area code) *
Daytime Phone Number (include area code)
Home or Other Phone Number (include area code)
Home or Other Phone Number (include area code)
Emergency Contact Phone Number (include area code) *
Emergency Contact Phone Number (include area code)
AGENDA AND ACTIVITY SIGN-UP

WEEK AT A GLANCE
(additional details to come)

Tues, October 11Welcome Reception (Doubletree Hotel, Rocky Mount)

Wed, October 12 Skills Training @ SRTC / Catered BBQ Dinner On-Site

Thurs, October 13 (AM) Skills Application and Case Studies

Thurs, October 13 (PM) Afternoon and Evening at Rose Hill Mansion

Fri, October 14 Departures

We assume all attendees will participate in our scheduled activities.
However, if there are special circumstances that will prohibit your attendance at any of these events,
please let us know in order to provide an accurate count to our event coordinators.

I will attend the following scheduled group activities *

Tuesday Activities
Wednesday Activities
Thursday Activities (AM)
Thursday Activities (PM)
ROSE HILL ACTIVITIES:

Upon arrival at Rose Hill, and prior to the awards dinner, you will have the opportunity to experience these optional activities. Please indicate your interest here. You may check more than one!

*Note: Sporting Clay will be available on a first-come, first-served basis. Additional participants will be taken as time permits.

Accommodations

Hotel:   DoubleTree Rocky Mount, 651 N Winstead Avenue, Rocky Mount, NC

Max 10 attendees / 5 rooms per company. Single occupancy (one king bed) or double occupancy (two double bed) rooms are available. Room preferences cannot be guaranteed. All rooms are non-smoking and are equipped with a small fridge, microwave, and complimentary high-speed wireless internet.

Choose One *

Please review your responses before submitting this form.

Thank you for taking the time to register for the 2016 SePRO Preferred Applicator Seminar. After submitting this form, please indicate below if you will require airline reservations for this event.


Please contact Cathy Hartowicz at cathyh@sepro.com, or 317-573-6172 if you have any questions.