EmailMe Form - Attendee Registration Form

A. Contact & General Information

Name

First Last

Title or Position

Institution/Company

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

B. Helpful Information for AGH

How did you hear about the 2015 Pellet Stove Design Challenge?

Did you attend any of the previous Design Challenges?

2013

2014

No

Are you interested in being a presenter or panelist?

What are you most excited to see at the April 2015 event?

What are you looking to gain from the conference?

Are you trying to fufill continuing education hours?

Please check which topics are of most interest to you. You may choose as many or few as you like, and please add additional topics that you want to see at the workshop.

"Other" Specification

C. Payment

After you submit your registration, you will receive an email with a link to pay the $100 registration fee. Once the fee is paid, your registration will be complete and you will receive a confirmation email. Thank you!

D. Event Coordinator

If you have any questions, please contact Gabriella McConnel at Gabriella@forgreenheat.org.