Click here to register your flight information no later than November 15, 2018.


Registration is currently on a WAITLIST status.


We are currently at capacity for BEC 2019. We have a waitlist to fill the final few remaining rooms.
Please enter the information below to be placed on the waitlist.

If you are cleared from the waitlist, you will be contacted by Julia Pinkston with a link to officially register.

DO NOT book flights until you receive confirmation from Julia and the link to officially register. You are currently only on the waitlist and not guaranteed a room.

There is a limit of 2 people per hotel room. Only one reservation form per room reservation.
You must be a Platinum Dealer and at least 18 years or older to attend.
 

 

GUEST INFORMATION

 
Guest #1 Name (as it should appear on name badge)
Prefix:                       First Name: Last Name:
                
 
Guest #2 Name (as it should appear on name badge)
Prefix:                       First Name: Last Name:
                
 

 

COMPANY INFORMATION

 
Full Company Name: Primary Contact Person:
 
Mailing Address (No P.O. Boxes): Suite:
 
City: State/Province: Zip/Postal Code (No spaces):
 
 Work Phone: Cell Number:
 
Email Address: Re-enter Email Address:
 
BioGuard District Sales Manager:
 
BioGuard Customer #: Platinum Dealer:     Yes       No  
 

 

HOTEL REQUEST

 
Please enter your request for hotel dates.
This is not a confirmation of your hotel reservation, but places you on the waitlist with your requested hotel dates.
 
Hotel Arrival Date:     Hotel Departure Date:    
 
Number of beds:   1 bed   2 beds  
 

 

 
Thank you for entering your information to be placed on the WAITLIST for BEC 2019.

If you are cleared from the waitlist, you will be contacted by Julia Pinkston with a link to officially register.

DO NOT book flights until you receive confirmation from Julia and the link to officially register.  You are currently only on the waitlist and not guaranteed a room.