Conference Registration Form
After May 4, 2012 interested attendees are asked to register on-site in Indianapolis.
Please note that on-site registrations cannot be guaranteed as conference attendance
is limited. Also note that on-site registration carries an additional fee of 10% of the
conference fee to cover processing costs.
Step 1 General Information
Title
First Name
Last Name
E-mail
Phone
Fax
Mailing Address
Company
Department (if applicable)
Address
City/State/ZIP
Country
Register online! www.american-coatings-show.com/conference
Step 2 Registration Options
Best
Value
Standard Fee
799
Reduced Fee*
729
University Members
399
*Discounts: Companies who are exhibitors at the American Coatings SHOW 2012 or members of ACA will be given a 10 discount of the standard fee.
I am exhibitor/member of: ACS 2012 ACA
Full Conference May 7 – 9, 2012
excl. Pre-Conference Tutorials
Two-Day Pass Choose one combination:
May 7 + 8, 2012
May 8 + 9, 2012
May 7 + 9, 2012
579
579
519
519
519
469
289
289
259
Single-Day Pass Choose one:
May 7, 2012
May 8, 2012
May 9, 2012
349
409
349
309
399
309
179
209
179
Your all-access pass to the complete American Coatings SHO W and CONFERENCE. All speakers, all sessions in every track - including keynote
presentations, all coffee breaks, luncheons, AC conference Reception, and full access to the American Coatings SHO W.
Pre-Conference Tutorials
Please note that the Pre-Conference Tutorials and the main conference are two individual events. Participation is limited at the exclusive
tutorials and will be handled on a first come, first served basis. Advance-registration is absolutely necessary.
Pre-Conference Tutorial 1 – 5 8: 30 – 10:00 am
Please choose one:
Tutorial 1, 175
Tutorial 2, 175
Tutorial 3, 175
Tutorial 4, 175
Tutorial 5, 175
Pre-Conference Tutorial 6 – 9 10: 30 – 12:00 pm
Please choose one:
Tutorial 6, 175
Tutorial 7, 175
Tutorial 8, 175 Tutorial 9, 175
Extra
After conference registration is sent attendees will also
receive confirmation and an invoice.
Credit Card Amex Master Card VISA
Step 3 Method of Payment
Card Number
Mail or Fax to
EPIC Registration
10900 Granite Street, Charlotte, NC 28273
Fax: 980-233-3800
registration@epicreg.com
Expiration Date
Card Holder Name
For Registration Questions Call:
EPIC Registration
Phone: 866-692-2071 or 980-233-3808
Date, Signature
