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].