Meeting Registration – Fluid Sealing Association

Fluid Sealing Association - 2024 Annual Meeting

Registration Form

Member Information

Member First Name Member Last Name

Nickname for Badge

Company

Email Phone Number

City State/Province

Companion Information (if applicable)

Companion First NameCompanion Last Name

Nickname for Badge

Companion Email*
*Please include this email address if your companion would like to receive email communications about the meeting.

Is Member a First Time Attendee?
Is Companion a First Time Attendee?

Optional Reception at Wynkoop Brewing Company - No Charge

Member
Companion

Please note any dietary restrictions here.

First or Second Attendee from a Company - $950.00

All Other Attendees from Same Company - $700.00
To be eligible for this rate, at least two other attendees from your company must be registered at the higher rate.

Prospective Member Registration (By Invitation) - $350.00

Companion Registration - $350.00

TOTAL AMOUNT DUE: