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RCI 32

International Convention and Trade Show, March 16-21, 2017

Attendee and Spouse/Guest Registration Form

(page 1 of 2)

One Registration Form Per Individual and His/Her Spouse/Guest

This registration form is designed to facilitate easy registration of the individual registrant and his/her spouse/guest.

If you have questions regarding how to complete this form, please call 800-828-1902.

Description of Registration Types

Full Registration includes educational programs, opening reception, region meetings, opening ceremony and keynote, trade show,

awards luncheon, annual meeting luncheon, and president’s reception and annual banquet.

Spouse/Guest Registration includes educational programs, opening reception, opening ceremony and keynote, trade show, awards

luncheon, annual meeting luncheon, and president’s reception and annual banquet. Not intended for colleagues. Spouses and guests who

Single-Day Registration includes the day’s educational programs, opening reception, region meetings, opening ceremony and keynote,

trade show, and annual meeting luncheon (if applicable). The awards luncheon, president’s reception, and annual banquet are not included.

Student Registration includes education programs, opening reception, region meetings, trade show, awards luncheon, annual meeting

luncheon, and president’s reception and annual banquet. Must be a current full-time student of engineering, architecture, construction

management or similar discipline and provide copy of student ID or proof of full-time student status.

Trade Show Only Registration includes admittance to trade show activities only, both days. Not for exhibitor staff.

Exhibitor Registration: Contact RCI or see your Exhibitor Service Manual for the proper forms.

Attendee Information

Member

First RCI

First

Last

 Yes

Convention

ID Number

Name

Company

E-mail

Name

Address

Company

State/

City

Postal

Province

Address

Code

Phone

Fax

Departure

Arrival

Date

Number

Date

Spouse/Guest Information

This address will be used to welcome and inform spouses/guests of special spouse/guest events and functions.

First RCI

E-mail

First

Last

 Yes

Convention

Address

Name

Address

State/

Postal

City

Province

Code

Fax

Phone

Arrival

Departure

Number

Date

Number

Date

Payment Method

Payment Type



Check (Payable to RCI in U.S. funds)

MasterCard

Return forms with payment to:



Visa

Discover

American Express

RCI, Inc.

Name of Cardholder _________________________________________________________

1500 Sunday Drive, Suite 204

Raleigh, NC 27607

Card Number

________________________________________________________

800-828-1902

3- or 4-Digit Verification Code ___________________ Expiration Date __________________

919-859-0742

fax-919-859-1328

Signature

_________________________________________________________

Cancellation Policy:

Refund requests received on or before February 13, 2017 will be accepted and issued a 50% refund of the total registration fee. No refunds or credits will be issued

for those canceling after February 13, 2017. Individual substitutions are subject to a $25 administrative fee. There is a $25 processing fee for all returned checks.