1. PCMI Fall Conference 2023

Company Information

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Sponsorship Registration

Please Check

Platinum = $1,250 Gold = $1,000 Silver = $650 Bronze = $350

Attendee Registration

Name # 1

Work Title

Email # 1

Cell Phone #

Is this your first PCMI Conference? Yes No Dietary Needs

Please Check

Pre Conference Tour

Member = $150 Non Member First Conference = $150 Non Member = $250

Conference Registration

Member = $500 Non Member First Conference = $500 Non Member = $1,350

Grand Banquet | Monday

Member = $125 Non Member First Conference = $125 Non Member = $225

Group Dinner | Tuesday

Member = $125 Non Member First Conference = $125 Non Member = $225

Facility Tour

Member = $100 Non Member First Conference = $100 Non Member = $200

Total First Person

Name # 2

Work Title.2

Email # 2

Cell Phone.2 #

Is this your first PCMI Conference? Yes No Dietary Needs

Please Check #2

Pre Conference Tour.2

Member = $150 Non Member First Conference - $150 Non Member = $250

Conference Registration.2

Member = $500 Non Member First Conference = $500 Non Member = $1,350

Grand Banquet | Monday.2

Member = $125 Non Member First Conference = $125 Non Member = $225

Group Dinner | Tuesday.2

Member = $125 Non Member First Conference = $125 Non Member = $225

Facility Tour.2

Member = $100 Non Member First Conference - $100 Non Member = $200

Total Second Person

A discount is applied if you register three or more people for the conference.

Name # 3

Work Title.3

Email # 3

Cell Phone.3#

Is this your first PCMI Conference? Yes No Dietary Needs

Please Check #3

Pre Conference Tour.3

Member = $150 Non Member First Conference - $150 Non Member = $250

Conference Fee.3

Member = $250 Non Member First Conference = $250 Non Member = $1350

Grand Banquet | Monday.3

Member = $125 Non Member First Conference = $125 Non Member = $225

Group Dinner | Tuesday.3

Member = $125 Non Member First Conference = $125 Non Member = $225

Facility Tours.3

Member = $100 Non Member First Conference - $100 Non Member = $200

Total Third Person

Payment

Please click on field to see total payment.

TOTAL FEES

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Payment* American Express Visa MasterCard

Credit Card #

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Exp Month: * Exp Yr: * Security #

First Name

*

Last Name * Email*

Photo Consent

PCMI has permission to take our photo during the conference that may be published on the PCMI website and social media platforms.

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PCMI: 11 Robert Toner Blvd., #234 | North Attleboro, MA 02763 | 508-385-0085 | www.pcmi.org

Katie Burke | Program Manager | katie@pcmi.org

Registration Form PCMI International Fall Technical Conference Hilton Hotel, Harrisburg, PA, USA October 7 - 11, 2023

Registration Form
PCMI International Fall Technical Conference

Hilton Hotel, Harrisburg, PA, USA

October 7 - 11, 2023