ATTENDEE REGISTRATION FORM Ohio Tree Care Conference

ATTENDEE REGISTRATION FORM
Ohio Tree Care Conference & Trade Show
February 28 – March 1, 2016
SAVE TIME - Register online at www.ohiochapterisa.org
Ohio Chapter ISA membership
required for conference discount.
ATTENDEE INFORMATION:  Commercial/Residential/Tree Company
 Municipal/Urban Forestry/Public Works/Government  Utility/Vegetation Management
 Education/Training/Research/Extension  Landscaping/Landscape Architecture/Nursery
 Other
______________________________________________________________________
Name (Please print exactly as you would like name to appear on badge)
_______________________________________________________________________________________________________
Company
________________________________________________________________________________________________________
Address
________________________________________________________________________________________________________
City
State/Province
Zip/Postal Code
________________________________________________________________________________________________________
Phone
Fax
___________________________________________________________________________________________________________________________________________
E-Mail (For confirmation)
CONFERENCE REGISTRATION FEES
Registration form postmarked, faxed or
submitted online to qualify for discounts.
CONFERENCE PACKAGES
3-day General Admission (Includes Sunday,
Monday, Tuesday Sessions, Trade Show, Meal
Functions–Select Sunday workshops below:
On or before
January 22
NonMember
Member
 $240
 $285
After January 22
Member
 $275
NonMember
Total
 $320
 Arboriculture Plus-AM Sessions (8:30-11:30)
 Arboriculture Plus-PM Sessions (1-5)
 Tree Risk Assessment Sunday Session (1-5)
Note: Climbers Corner is included in the 3-Day General Admission. If you register for Climbers Corner separately, you will
not receive CEUs. (Includes Monday or Tuesday Climber’s Session ONLY, Trade Show, Meal Functions.)
Electric Hazard Awareness – register at TCIA.org/training. There will be a $20 fee.
 $50
 Monday Climbers Corner
 $50
 $50
 $50
 $50
 $50
 $50
 Tuesday Climbers Corner
 $50
2-day General Admission (Includes Monday &
 $255
 $300
 $220
 $265
Tuesday Sessions, Trade Show, Meal Functions)
SINGLE-DAY SESSIONS (Includes Monday or Tuesday Sessions, Trade Show, Meal Functions)
 Monday Only
 $135
 $180
 $170
 $215
Tuesday Only
 $135
 $180
 $170
 $215
SUNDAY SESSIONS ONLY
Arboriculture Plus – AM Sessions (8:30-11:30)
 $40
 $85
 $75
 $120
Arboriculture Plus – PM Sessions (1-5)
 $40
 $85
 $75
 $120
Tree Risk Assessment (1-5 PM)
 $40
 $85
 $75
 $120
OTHER
 $60 Mon & Tues
Student Rates (Must provide copy of valid Student ID)
 $30 Monday Only
 $30 Tuesday Only
Extra Meal Ticket(s) _____ Monday Lunch
_____Tuesday Breakfast
 $30 per ticket
Not a member of the Ohio Chapter ISA? Contact us for details!
TOTAL DUE:
Member rate extended to members of
other ISA chapters. Please list chapter
if different than Ohio ______________
Trade Show is FREE to the general
public. Registration is required.
PLEASE CHECK IF APPLICABLE:
 First-time Attendee
PAYMENT INFORMATION:
 Check/Money Order made payable to
Ohio Chapter ISA
 Purchase Order No. ______________
To pay by credit card, please visit
www.ohiochapterisa.org and Sign In
(located in the upper right corner). Ohio
Chapter ISA currently accepts the
following credit cards: MasterCard and
VISA. Ohio Chapter ISA is unable to
accept credit cards by phone, fax, email,
or by mail.
If you do not remember your Username
or Password, use the Reset Your
Password on the Ohio Chapter ISA web
site by entering the email address
associated with your member record.
Please contact the Ohio Chapter ISA
office at (614) 771-7494 if you have any
questions or trouble logging in. We
appreciate your continued support.
MAIL WITH CHECK OR FAX WITH
PURCHASE ORDER TO:
Ohio Chapter ISA
1100-H Brandywine Blvd.
Zanesville, OH 43701-7303
740-452-2552 Fax
For more information, contact
Ohio Chapter ISA at (614) 771-7494
or Email [email protected]
Visit www.ohiochapterisa.org for
conference updates.
 I do not want my contact information
made available to conference exhibitors
Cancellations and Substitutions: Refunds will be given if written notice is received by February 1, 2016. There will be a $50 accounting charge for all refunds. Please note that submission of the registration form is a
commitment to pay if the OTCC is held, regardless of weather conditions. No Shows will be invoiced and subject to collection for the full amount. Refunds will not be given after February 1, 2016. You may transfer your
registration to another person if you notify the Ohio Chapter ISA office in writing by mail, fax (740-452-2552), or email ([email protected]). Conference coordinators reserve the right to make changes to speakers and
programs and to cancel programs if enrollment criteria are not met. In the unlikely event this conference is canceled, the Ohio Chapter ISA will refund registration fees. No portion of the registration fees is tax deductible as
a charitable contribution. Accommodations for individuals who qualify under the Americans with Disabilities Act are available upon request. Please contact the Ohio Chapter ISA office at least ten (10) days before the
conference at 614-771-7494 or via email at [email protected]