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Plugfest Registration Payment Form

Fields marked with an * are required

General Company Information

Bill To Invoice Information

[highlight color="#eeee22" rounded="yes" class="" id=""]We are accepting Credit Card Payments. A processing form will be required. After you have filled out the registration form an option will appear for Credit Card Payments. Click on it and Fax it in.[/highlight]

 

Equipment Information

Product One:


Product Two:


Product Three:


Product Four:


Attendee Information

Please fill in the following information if different from above information

Participant #2

Please fill in the following information if different from above information

Participant #3

Please fill in the following information if different from above information

Questionnaire

If you are bringing enclosures, please answer the following questions:

In order to plan properly for the Plugfest we are trying to collect some information related to enclosures that you are planning to bring.

Please provide this information right away.
This information will not be shared with anyone other than Barry Maskas (FCIA Plugfest Technical Committee Chair) and the UNH-IOL planning team.

For more information on the facility visit: https://www.iol.unh.edu/about/visit

Cables and Connectors

Your device supports the following connector types (check all that apply):

2017-05-18T15:09:36+00:00