Attendee Registration Form

Please complete the following to register to attend Auto Glass Week™ (AGW). In order to provide the best value and flexibility to our attendees, there are several registration discounts being offered. Please choose the registration from the list below that best suits your needs.

AGW registration includes all seminars, workshops, social events and admittance to the Exhibition/Extravaganza. Note: The Gala Awards Reception and Ceremony is not included with your registration. You may purchase tickets for this event below when you register.

PRICING DISCOUNTS AND REGISTRATION SPECIALS NOT VALID FOR NON-SPONSORING INDUSTRY SUPPLIERS.

Full Registration Special.
Buy two full registrations and get a third full registration FREE.
Please register ALL FULL registrants first, then enter any others
(ie, Trade Show Only or Children).

Pre-Registration Pricing Discount (ends 9/15/14): $219 for first attendee,
$179 each additional attendee. Attend the Trade Show Only for $69.
$995 Non-Sponsoring Industry Suppliers

You will not be required to provide your credit card information until you are transferred to our secure online payment site.
READ OUR PRIVACY POLICY

Company/Payment Information:

Company: Email:    
Address1: Address2:    
City: State/Province : Zip/Postal:
Country: Phone: Fax:
NAME ON CREDIT CARD: First Name: Last Name:

Attendee #1 (REQUIRED)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $219Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #2 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #3 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #4 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #5 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #6 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179Trade Show Only - $69Non-Sponsoring Supplier - $995*Child (16 and below)** - $69

Attendee #7 (OPTIONAL)

Attendee's Full Name: Attendee's Company:
Select An Option:Full Registration - $179 Trade Show Only - $69Non-Sponsoring Supplier - $995* Child (16 and below)** - $69

Gala Awards Reception and Ceremony - Thursday, October 9, 5-7 p.m.

Join competitors for a drink and light fare as they are awarded their certificates of participation and our champions are announced!

Number of adult tickets: X $79.00 each
Number of child tickets: X $40.00 each
Check here if you wish to opt out of sharing your information with our sponsoring associations.

Non-Sponsoring Supplier Registration:

* If you are registering 3 or more employees as a Non-Sponsoring Supplier it may be more cost-effective to become a Sponsor – Contact Holly Biller to discuss this option.

Child Registration:

** Parent or guardian must sign a waiver form before children will be allowed into the event. Read our Children's Policy.

Cancellations & Refunds:

All requests for cancellation and/or refunds must be received in writing by August 29, 2014, and are subject to a $50 administration fee. No refunds will be given after this date.

Questions or Comments:

Please contact Auto Glass Week™ c/o AGRR magazine, P.O. Box 569, Garrisonville, VA 22463 or call us at 540/720-5584, or fax 540/720-5687 or email: Kelcy Summers (ksummers@glass.com).