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NowGen NEXT Registration FormRegistration FormWednesday, September 15, 2009 Grand Hyatt Washington 1000 H Street NW, Washington, DC 4 Easy Ways to Register
1. Contact InformationName_________________________________________ Title/Rank______________________________________ Company/Organization____________________________ Address_______________________________________ City_______________ State/Province____________ Zip/Postal Code____________ Country_____________________ Phone___________________________Ext__________________Fax_____________________ Email____________________________________________________ (Required to confirm registration) By registering you agree (opt-in) to receive email messages concerning the Conference and Exhibition unless you check the opt-out below. You may decide to opt-out at any time. Opt-out—I do not want to receive any information about the Conference and Exhibition via email. 2. Select Your Registration Package
Includes:
3. Payment InformationCredit Card: Visa MasterCard American Express Discover Card Number________________________________ Expiration Date_______________________________ Signature____________________________________ Print Name on Card___________________________ P.O. or Federal Government Voucher SF182 #________________ (please attach P.O. or voucher) 4. Your Profile1. Please check the category that best describes your firm's primary business: (check only one) Avionics System Integrator/Manufacturer Airframe/Aircraft Manufacturer Commercial Operator (Major/Regional/Commuter) Cargo/Air Freight Business/Corporate, Charter Operator Military/Governments/Government Agency or Authority FBO/Modification Center/Maintenance Facility Airport Operations/Management/Authorities/Air Traffic Control/Air Traffic Management Avionics Components Manufacturer Other Manufacturer (including ATE, Test Equipment, Communications Equipment, Computers, Electronics, Flight Simulation Equipment, Navaids, Wire, Cable, Satellite, Manufacturers Reps., and Other Manufacturers Allied to the Industry) Distributor/Dealer/Retailer/Shop Consultant 2. Please indicate all of the organizations below that use this company’s products and/or services: (check all that apply) DOD/Army, Navy, Airforce, Coast Guard Military/foreign Government agencies/domestic (FAA, NASA, etc) Government agencies/foreign (JAA, CAA, etc) Airframe Manufacturers/commercial aircraft Airframe Manufacturers/corporate aircraft Airframe Manufacturers/military aircraft Commercial Airline Operators Aviation aftermarket businesses (distributors/mod centers/FBOs/Dealers) Business Aviation 3. Check the category that best describes your job title: (check only one) Engineer/Principal Engineer Avionics Director/Manager Avionics Project Manager/Program Manager Avionics and/or Maintenance Supervisor, Superintendent, Asst. Manager, Foreman, Lead Flight Department Manager Government Official/Military Official Purchasing/Procurement (Director, Manager, Supervisor, Lead) Operations (including Marketing, Sales, Communications, Information Manager, Customer Service, Support, Business Planning, Development, Finance, and other Operations) Managers, Directors, Assistant Managers, Supervisors, Superintendents, Account Executives Corporate (including General Manager, Owner, Partner, Officer, President, Vice President) Pilot/Chief Pilot Consultant Avionics Technician/Mechanic 4. Which one of the following best describes your involvement in the decision to purchase/procure a product/service? (check ALL that apply) Design Specify Purchase Approve Recommend Evaluate Not involved 5. Please indicate from the list below the products and/or systems that you will be specifying, recommending or purchasing: (Check all that apply) Test Equipment Databus Test – 1553/1773 Databus Test – ARINC Protocols VME/VXI Air Data Test ATE Avionics Components/Products Antennas Connectors Databus Components Displays Electro-mechanical Components Headsets/Intercoms Inverters/Converters Instruments, Flight Instruments, Engine Power Supplies Switches Racks Wire & Cable Software Data Bus Boards Avionics Systems Data Loaders IFE Systems Navigation Systems Fire Detection Systems Radar-Weather Detection Windshear Collision Avoidance FDR/CVR Communications Systems Fuel Management Systems Flight Control/FMS Systems Simulators/Training Terrain Awareness Datalink Electric Power Engine Monitoring Systems Other Indicating Systems Lighting Electronic Flight Bags Real Time Operating Systems Avionics Services Contract Assembly Product Services Support Services Registration Terms and ConditionsCANCELLATIONS: The cancellation deadline is August 14, 2009. Cancellations must be made in writing by August 14, 2009 to receive a refund, minus a $150 cancellation processing fee. Registrants who do not cancel prior to August 14, 2009 will be liable for full registration fee. Non-payment or non-attendance does not constitute cancellation. If for any reason, Access Intelligence decides to cancel or postpone this conference, Access Intelligence is not responsible for covering airfare and other travel costs incurred by clients. All refund requests are processed after the event. SUBSTITUTIONS: Substitutions may be made at any time for confirmed registrants. Notice of substitution must be made in writing and sent to: Search and Rescue Summit, 4 Choke Cherry Road, 2nd Floor, Rockville, MD 20850 or register@NowGenNEXT.com. AGE POLICY: No one under the age of 18 is permitted to register for or attend NowGen NEXT. QUESTIONS: If you need assistance, please contact the NowGen NEXT customer service at 301-354-1813.
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