2015 Gas Well Deliquification WorkshopPage 1

ALRDC, SWPSC 2017 Gas Well Deliquification Workshop

Exhibit Area Registration Form

February 20-22, 2017

Please complete this form to register for an exhibit area at the ALRDC, SWPSC 2017 Gas Well Deliquification Workshop. Please do not write in the shaded spaces. A limited number of 10’X20’ spaces are available, on a first come, first served basis. When these double spaces are filled, there will be no more available. *Registration must be received no later than Friday, January 27, 2017, to be included in printed materials.

Registration Information / Information Required for Registration
Exhibitor Contact Name
Company
Mailing Address
City/State/Zip Code
Country
Telephone Number
E-Mail Address
Name and email of personnel to use the two complimentary registrations: / 1 –
2 -
Brief Description of product or services
Anyone you do not want to be placed next to? We will try our best to accommodate the request.
Desired Exhibit Size (Please circle or highlight your choice): Medium (10x10) Large (10X20)
Fee: Medium $1,250, $1,350 after Jan. 27 Large $2,000, $2,100 afterJan.27 / $
Additional Personnel (To work exhibit only – no courses or workshop)
Name / Email Address / Number of days working exhibit / Total Fee
($150 per day)

Anyone wanting to attend a Continuing Education Course and/or the Workshop must completethe standard registration formand pay the standard fees.The form can be found at The one complimentary registration is good only for the workshop on March 1-2, 2016.

Method of Payment? Check or Credit Card
If check, see instructions below.
If credit card: (e.g. American Express, Visa, Master Card, Discover)
Credit Card Number:
Name on Credit Card:
Expiration Date:
Security Code on Back of Card:
Billing Zip Code:
Total to be charged to Credit Card:
Cost of Exhibit Area / On or Before January 27, 2017 / After January 27, 2017
Medium (10' x 10') (pop-up booth size) / $1,250 / $1,350
Large (10’X20’) Limited numbers of spaces / $2,000 / $2,100
Free registration. Two workshop registrationsare included with each exhibitor space.Personnel attending/working the exhibit booth must register. Personnel working the exhibit booth only may register as exhibitor only for $150 per day, per person.
Exhibit size. Please make certain your exhibit/display items fit within the exhibit space size: 10’X10’. There is no forklift available at the hotel. If any change is needed in the exhibit size or other requirements, please notify Ronda Brewer immediately. Information about shipping/receiving exhibit materials will be sent out within two weeks prior to the workshop date. Please check this website for periodic updates.
Set up time. It is preferred for all Exhibits to be set up on Sunday afternoon, February 19, 2017, between 2:00 and 5:00 pm. If necessary, a booth may be set up on Monday evening, after 6:30 pm. Please notify Ronda Brewer if you need to use this special time.
Teardown time. Please do not start teardown of your exhibit until after the specified time on Wednesday, February 22. If you must start teardown early, please coordinate with Ronda Brewer at the Workshop administration table.
Door prizes. If you would like to provide door prizes in your booth, this is permitted. Also, if you would like to donate door prizes to be distributed during the general sessions, this will be appreciated.
Hospitality Events, Dinners, Ball Games, etc. It is OK to schedule Hospitality Events, Dinners, Ball Games, Company Meetings, etc. in connection with the Workshop, but these MAY NOT be scheduled to conflict with the timing of any Workshop presentations or events.

(a)electronic: (Save as an attachment and email)

(b)Fax: 1-806-742-3502

(c)Mail: Gas Well Deliquification Workshop/SWPSC

Petroleum Engineering Department

Texas Tech University, Box 43111, Lubbock, Texas 79409-3111

(d) Telephone: 1-806-834-7937

Make check payable to Southwestern Petroleum Short Course.