"AVERAGE" IS NOT AN OPTION. SIGN ME UP FOR H
2
KNOW!
To register for H
2
KNOW, please fill out the form below. All fields (except for those found in the Attendees section) are required.
Please only register personnel that can commit to attending. Additional attendees can be added at a later date. If you cannot attend, an alternate from your company may attend in your place. To avoid a $95 cancellation fee, please give 72 hours notice by calling 800.859.SWIM (7946).
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Contact Information
Name of person filling out this form:
Business phone number
(Format: xxx-xxx-xxxx):
E-mail address:
Confirm E-mail address:
District Sales Manager (DSM):
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Baxley, Mickey
Berry, Tim
Braithwaite, Bill
Brame, Will
Carpenter, Michael
Darby, Randy
Edwards, Bob
Forbes, Irene
Gonterman, Steve
Hansen, Brian
Harvey, Rick
Humphrey, Marianne
Jackson, Doug
Jenkins, Steve
May, Dwayne
Metsker, Steve
Nelson, Jon
Newell, Rob
Nicholas, Nick
Ostrom, Chuck
Reitzell, Chip
Rhodes, Mike
Rogers, Tim
Schneider, Brad
Stasik, Jason
Vause, Jeff
Wright, Tim
Young, Matthew
Company Information
Company Name:
BioGuard Account #:
Address:
City:
State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip Code:
School Information
Select the school you would like to attend:
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2 DAY SCHOOLS
February 28-29, Dallas, TX
February 28-29, Atlanta, GA
March 6-7, Indianapolis, IN
March 6-7, Kansas City, MO
March 13-14, Pittsburgh, PA
March 13-14, Greensboro, NC
March 19-20, Bridgewater, NJ
March 20-21, Chicago, IL
March 22-23, Baltimore, MD
March 26-27, Las Vegas, NV
March 27-28, Boston, MA
1 DAY SCHOOLS
February 9, Lakeland, FL
February 16, New Orleans, LA
March 6, Sacramento, CA
March 6, Columbia, SC
March 8, Denver, CO
March 13, Portland, OR
March 15, Seattle, WA
March 28, Minneapolis, MN
Attendee Information
Please ensure that all attendees names are spelled correctly, name badges and diplomas will be printed from the information entered.
Name
Job Role
Years in Role
Years Attended
Chem College?
1
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
2
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
3
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
4
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
5
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
6
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
7
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
8
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
9
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
10
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
11
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25
12
--
Owner
Manager
Service
Retail
--
<1
1-5
5-10
10-25
>25
--
<1
1-5
5-10
10-25
>25