SCJMHSC Association

914 Country Creek Lane Red Oak, Texas 75154
scjmhscassociation@gmail.com

 

PARTICIPANT REGISTRATION FORM

36th South Central Joint Mine Health & Safety Conference
March 26-29, 2018~ The Hilton Anatole ~ Dallas, Texas
  • Participants Attending

    IF REGISTERING MORE THAN 6 PERSONS, please fill out additional form. NOTE: We will print the name badges from the Names and Job Titles entered below.
  • The Discussion Group refers to the meetings on Wednesday morning of the Conference (this will enable us to allocate appropriate space for each group).
  • Will you or your company be receiving any awards at the conference?
  • $375.00 per registrant (includes all meals & refreshments served by the Conference, including attending the Awards Luncheon and any sessions or workshops)
    Price: $375.00 Quantity:
  • $50.00 AWARDS LUNCHEON ONLY ($50 x number attending only the Awards Luncheon)
    Price: $50.00 Quantity:
  • $0.00
  • -50% refund for cancellations before March 1, 2018
    -There are no registration refunds for NO SHOWS or cancellations after March 15, 2018. (This is the date the hotel requires that we guarantee the number of Conference-provided meals and snacks.)
    -There is not a fee charge for changing names (swapping attendees) on registrations PROVIDING notice is prior to conference start date, after that a $25 processing fee be charged.
  • This field is for validation purposes and should be left unchanged.