2020 BICSI Winter Conference & Exhibition
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Attendee Information
Please check if this is your first BICSI Conference.
Last name First name Middle initial Member number
First name or nickname for badge Company name
Mailing address
City State/Province Zip/Postal code Country
How did you hear about this event? Daytime phone Email
Winter Conference Registration All prices listed in U.S. dollars.
NOTE: Application must be postmarked by Monday, 3 February 2020 or faxed to BICSI by noon on Thursday, 6 February 2020.
Full-Conference Registration Available through Rates begin
10 January 11 January
EARLY BIRD DISCOUNT REGULAR RATE
BICSI Member ...........................................................................................$895 ................................................ $995
Nonmember ........................................................................................... $1,025 ............................................... $1,150
Senior, Installer/Technician, Active Military, Student (SIMS)* .................... $695 ................................................$695
Total Registration Fees
*Early Bird, Regular, and SIMS Registration includes Awards Banquet Ticket.
Will you be attending the Annual Awards Banquet on Wednesday, 12 February, 6-10 p.m.? YesNo
NOTICE: A professional photographer and videographer may be on site to document BICSI Conference events and activities. Photos and videos are the sole property of BICSI. By registering
for and attending BICSI events, attendees understand that BICSI may use their likenesses for future promotional purposes. If you do not wish to be photographed, please notify the
photographer and videographer on site. Furthermore, please be advised that BICSI may provide your name to the conference hotel to ensure all hotel reservations are accounted for accurately.
*IMPORTANT: The discounted SIMS registration rate is available to all registrants who qualify as a Senior (62+), Installer/Technician, Active Military or Full-Time Student. RCDDs and
RITPs may only register under the SIMS category if they are also a senior citizen, active military member or are currently enrolled as a student. All attendees registering as a Student,
Active Military or Senior must provide official documentation and/or I.D. prior to registering for the conference. To do so, you must contact BICSI Membership & Customer Care at bicsi@
bicsi.org or call us at +1 813.979.1991 or 800.242.7405 (USA & Canada toll-free). I.D. is required at the registration counter at the conference. Visit bicsi.org/winter/reg for detailed SIMS
registration requirements.
Mail Forms A-C: 2020 BICSI Winter Conference, 8610 Hidden River Pkwy, Tampa, FL 33637-1000 USA or Fax: +1 813.971.4311 | Form A
/reg