Attendee Information
First Name Last Name

Company or City Name Position - Please Select - Owner Operator Management Administration Engineer None of the above

Address 1
Address 2

City State / Provience Postal Code

Country

Phone Fax E-mail

Other Attending With You
How many will be attending including yourself?

Other Attendee Names

Choose Dates and Events You Wish To Attend:
September 19th, 2007 (PACP & Dealer Meeting Only)
September 20th, 2007
September 21st, 2007

September 20th Dinner and After Party
September 21st Hog Roast and Kentucky Headhunters Concert

Technical Training
New Technologies Seminars
Hands-on Demonstrations
PACP Training (call 800-656-4225 to arrange)

Additional Information

Please Select All Products Of Interest:
Vehicle Mounted Mainline Inspection Systems
Portable Mainline Inspection Systems
Professional Push Camera systems
Plumber's Style Push Camera Systems
PANORAMO 3D Optical Scanners
Rehabilitation Robotics
Inspection Software
Pipe And Camera Locators
Other Products - Please Specify

Other Information
Where did you hear about RapidView's SeptemberFest? Attended Last Year Web Search E-mail Print Ad Word of Mouth Trade Show Other - Please Select -

Will you be staying at a local hotel? - Please Select - Yes No Staying in another city Don't Know Yet

Will you be flying in? - Please Select - No Unknow at this time Yes to Indianapolis Yes to South Bend Yes to Fort Wayne Other

Have you been to SeptemberFest Before? Yes No

How soon do you plan to purchase new equipment Immediately Within 30 days Within 6 months Within 1 year Just Budgeting Don't Know - Please Select -

Do you currently own RapidView Equipment? Yes No

Do you have any suggestions or specific training needs during your stay?

If you have questions, let us know by e-mail: info@rapidview.com