JOB TITLE*

PHONE*

EMAIL*

Example: mss@stilesmachinery.com

Optional Secondary Email

Company Name*

Example: Stiles Machinery

COMPANY ADDRESS*

Example: 729 Gallimore Dairy Rd

CITY*

Example: High Point

STATE*

Example: NC

ZIP CODE*

Example: 27265

ATTENDEE TYPE*

Select an Option MANUFACTURER STILES DEALER REPRESENTATIVE STILES SUPPLIER VENDOR STILES EMPLOYEE

EVENT ATTENDANCE*

Please select the day(s) that you will be attending the seminar and any of our networking receptions. Be sure to select select EACH event you plan to attend.

TUESDAY, June 10 | RECEPTION (6-8 p.m. at Marriott Airport Hotel) WEDNESDAY, June 11 | PANEL PROCESSING (8:30 a.m. - 4 p.m. at Stiles) WEDNESDAY, June 11 | RECEPTION (6-8 p.m. at Marriott Airport Hotel) THURSDAY, June 12 | SOLID WOOD & SURFACE (8:30 a.m. - 4 p.m. at Stiles)

Hotel Accommodations*

Does your attendance at the Stiles Manufacturing Solutions Seminar require overnight accommodations? If yes, please visit www.stilesmachinery.com/mss after registering to reserve a room at our preferred hotel.

Select an Option YES, I will book my own hotel accommodations at the preferred hotel. NO, I do not need any hotel accommodations.

DIETARY RESTRICTIONS

Please explain dietary restrictions or needs below, if applicable.