2010 Gas Well Deliquification Workshop Page 2

2010 Gas Well Deliquification Workshop Page 2

ALRDC, SWPSC 2010 Appalachian Basin Gas Well Deliquification Seminar

Exhibit Area Registration Form

June 6 - 8, 2010

Please complete this form to register for an exhibit area at the ALRDC, SWPSC 2010 Appalachian Basin Gas Well Deliquification Seminar. Please do not write in the shaded spaces. Each company is allowed to purchase one space.

Registration Information / Information Required for Registration
Exhibitor Contact Name
Company
Mailing Address
City/State/Zip Code
Country
Telephone Number
FAX Number
E-Mail Address
Name of person to use complimentary registration:
Additional Personnel (To work exhibit only – no courses or workshop)
Name / Email Address / Number of days working exhibit / Total Fee
($100 per day)

Anyone wanting to attend a Continuing Education Course and/or the Seminar must complete the standard registration form and pay the standard fees. The form can be found at www.alrdc.com. The one complimentary registration is good only for the workshop on June 8, 2010.

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 Type:
Credit Card Number:
Name Printed on Credit Card:
Expiration Date:
Billing Zip Code:
Cost of Exhibit Area / On or Before May 14, 2010 / After May 14, 2010
Medium (10' x 10') (pop-up booth size) / $500 / $600
Free registration1,2. One free workshop registration will be granted per exhibiting company. People who are attending the Exhibit only may register for $100 per day for the days they attend. They will need to obtain a special pass at the Workshop. All additional personnel will need to register for the workshop at the normal registration cost.
Exhibit size3. 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 at least one month prior to the workshop date. Please check this website for periodic updates. If all exhibit spaces are not taken by Friday, May 14, 2010, a company may sign up for an extra large booth (10’ x 20’) for a cost of $1,000.
Set up time. It is preferred for all Exhibits to be set up on Sunday afternoon, June 6, 2010, 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 afternoon break on Tuesday, June 8. 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, 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

Petroleum Engineering Department

Texas Tech University, Box 43111, Lubbock, Texas 79409-31111

(d) Telephone: 1-806-742-1727

If paying by check, make it out to Southwestern Petroleum Short Course, indicate 2010 Appalachian Basin Gas Well Deliquification Seminar, and mail it to the address given above.