Exhibitor:
 Contact      
Phone#:
Address:
 Contact      
email:
City:
 Contact:  
State:
 Zip:
1.
 Check here if first time attendee
Name
 Title:
email:
 Phone:
2.
 Check here if first time attendee
Name:
 Title:
email:
Phone:
3.
 Check here if first time attendee
Name:
 Title:
email:
 Phone:
4.
 Check here if first time attendee
Name:
 Title:
email:
 Phone:
If new attendee, provide name of person referring you to conference
Total # exhibitor registering
 Total Amount Due:
Check here to indicate you will be mailing your check for payment
My/Our Registration form indicates we have read the Liability, Waiver and Release
Information and the Cancellation and Change Policy and agree to the terms stated.  
Photo Release
I/We hereby give the Utility Payment Conference and its delegated representatives the
permission to photograph me alone and/or with other attendees in conjunction with and
for the conference.  I/We understand the pictures may be used for the promotion of the
conference.  Publications of photographs shall include, but is not limited to, the
conference website, future conferences, promotional brochures and flyers and other
forms of media.
Hotel Reservation Release
I/We hereby give the Utility Payment Conference and its delegated representatives
permission to inquire of the hotel information regarding my booked reservation.  In
addition, the conference hotel(s) has my/our permission to disclose my/our reservation
information to the conference's delegated representation.
1.  Mail U.S. funds check payment and submit electronic registration form.  
2. Online - Fill out information form and click  "submit button"  below.  Next pay by credit card.
List the information for each person registering for the conference.  Cost is per person:
by May 31    $425     by  August 31       $525      September 1 or later      $625
Complete this form if more than two company representatives will be attending.  
  • Select Payment Item 1 or 2 below and submit all registration documents and payment.
Payment and Registration Instructions