Pile Driving Contractors Association Conference Brochure, Hotel Information and Registration Advances in Pile Driving Technology May 17–19, 2016 Astor Crowne Plaza New Orleans French Quarter New Orleans, Louisiana ▶▶ Industry general sessions ▶▶ Continuing education credits (CEU, PDH or as required by states) ▶▶ Exhibit hall ▶▶ Social/networking events ▶▶ Opening ceremony with keynote speaker ▶▶ General business meeting ▶▶ Companion’s program ▶▶ PDCA Scholarship Fund fundraising event ▶▶ Annual dinner and entertainment ICAN PI L ER M C. ICAN PI L ER ED A M GOLD SPONSORS SILVER SPONSORS SILVER SPONSORS SILVER SPONSORS RIVING E PMENT, IN UI Q PMENT, IN UI Q ED PLATINUM SPONSORS RIVING E C. PLATINUM SPONSORS cooperatiNG Organization A 20th Annual International Conference and Expo 2016 Astor Crowne Plaza New Orleans French Quarter Home of the PDCA 20th Annual International Conference & Expo 2016, the Astor Crowne Plaza is a towering landmark that graces Canal and Bourbon Streets in New Orleans. With uncompromising hospitality, the Astor Crowne Plaza New Orleans provides luxury, Four Diamond accommodations amid the beating heart of the legendary French Quarter. Discover a rich diversity of elegant comforts and conveniences, including its fresh, modern design, Crowne Plaza Sleep Advantage Bedding in each room, high-speed internet access, flat screen high-definition televisions, dual-line phones with voicemail, deluxe bath amenities and hair dryer, coffee/tea maker, in-room safe, iron/ironing board and views of Bourbon Street. Their courteous, attentive concierge maintains a strict focus on guest satisfaction, while providing welcoming Louisiana hospitality that will make you feel right at home. Accommodation Details Astor Crowne Plaza New Orleans French Quarter 739 Canal Street New Orleans, LA 70130 Special conference room rate – $205 per night for a single or double (triple and quad rates available online). Reservation deadline is Thursday, April 27, 2016! Individuals are responsible for making their own reservations. To make reservations, please go to booking website by visiting www. bit.ly/1jr5fak, or call the Hotel Front Desk at 1-504-962-0500 and refer to the Pile Driving Contractors Association conference. If you would like to come early or stay late, the special conference Anyone requiring travel assistance or who has special needs room rate is available three days prior to and three days after the of any kind should contact PDCA travel agent, Lorraine conference dates, based on availability. t Engelman, Blue Ribbon Travel, at 718-767-5455, or email lorraine@travelblueribbon.com. Note: Please print clearly or type all information on the registration form. Incomplete or incorrect information will delay the processing of your registration form. Please read the registration form carefully. All inquiries should be addressed to the PDCA office by phone, toll-free at 888-311-PDCA (7322) or by email to holly@piledrivers.org. 2 Advances in Pile Driving Technology Silent Auction PDCA will hold its fifth annual silent auction during the confer- on Thursday, May 19, with winners announced at the conclusion ence. Silent auction items will be displayed in the exhibit hall and of the lunch. bidding opportunities will be conducted throughout the conference The proceeds from the silent auction will benefit the PDCA dates. Final bidding will take place during the Exhibitors Luncheon Scholarship Fund. t Companies are encouraged to participate in the auction by donating an item for this worthy cause. Any individual or company interested in contributing to the silent auction should contact the PDCA office at 888-311-7322. The Third Annual PDCA Scholarship Fundraiser – Bowling Tournament The Third Annual PDCA Scholarship Fundraiser for 2016 will be a bowling tournament, sponsored by Cajun Deep Foundations, R.W. Conklin Steel and MKT Manufacturing, at Rock ’N’ Bowl. All proceeds from the tournament will be used to support the PDCA Scholarship Fund, which provides money to students enrolled in university, college or technical programs in construction, construction management, engineering or related industry advancement programs. PDCA and Rock ’N’ Bowl have gathered all the elements of a good time – impeccable food, delicious drinks, the finest games and a great atmosphere – so you can focus on what matters most: having fun while raising money for a good cause! Join the friendly competition and let’s see who will take home bragging rights. Each team represented will be provided with their own distinct colored t-shirt. Details The fundraiser will begin at 11:30 AM with a luncheon buffet followed by the tournament. Play will conclude at 2:30 PM, in time to determine the winning teams and present awards. The maximum number of bowlers on a team is six. You can assemble a full team, partial team or just sign up as an individual and PDCA will work out the details. Cost per player: $75 (Includes lunch buffet, hosted bar throughout the tournament, bowling, bowling shoes, team t-shirt and transportation from the Crowne Plaza to Rock ’N’ Bowl and back). t Opening Reception Join us as we kick off the conference with an opening reception in the exhibit hall, sponsored by American Equipment & Fabricating Corp., on Tuesday, May 17 from 5 p.m. – 7 p.m. This event will feature a hosted bar and heavy hors d’oeuvres, but that’s not all! Since you’re in New Orleans and it’s our 20th, enjoy a traditional New Orleans style Hurricane in your very own PDCA hurricane glass at the sponsored “specialty bar!” The opening reception is one of the conference’s major networking events in the exhibit hall. Spend quality time with colleagues while checking out the latest technology, equipment and materials in the pile driving industry at the exhibit booths manned by experts who can enlighten you on their products. HG Photography/Shutterstock.com Mike Flippo/Shutterstock.com Annual Reception and Dinner Entertainment Whether you call it Mardi Gras, Fat Tuesday, Carnival or the most famous party in New Orleans, PDCA will provide a festive evening at the annual reception and dinner. This year, PDCA will be the “krewe” for all of the evening’s festivities! This year’s evening theme is Mardi Gras – what else? – and will start with a cocktail reception, featuring a hosted bar with light hors d’oeuvres. Following the reception will be a triple entrée buffet dinner – New Orleans style that’s being sponsored by Richard Goettle, Inc., Boh Bros. Construction Co., LLC and Shoreline Steel. After dinner, you can look forward to a fun-filled evening of entertainment and social networking that includes a Mardi Gras “mask” competition. So come dressed up with your Mardi Gras mask (Mardi Gras attire also encouraged) and be ready to party! All of this happens on Wednesday, May 18, beginning at 6:30 p.m. in the Astor Gallery. t 3 20th Annual International Conference and Expo 2016 Pile Driving Inspection Course Presenters: Mohamad Hussein, P.E. and Gerry McShane Pile driving is a self-assuring method of deep foundation construction; the process itself makes each and every pile a “tested” product. Design, construction, inspection and testing constitute the four main parts of a piling project. This course is intended to cover methods of quality assurance and quality control (QA/QC), as well as foundation design principles, installation methods and equipment, important inspection aspects, testing procedures and development and application of pile driving criteria. Presentations will also be given on the installation and QA/QC of sheet wall piles. 4 Who should attend: Contractors, engineers, inspectors, suppliers and anyone involved in the pile driving industry or inspection of driven piles. This one-day course will be offered on Monday, May 16, from 7:30 a.m. to 4:00 p.m. Separate registration is required – see the conference registration form. The course fee includes all material, continental breakfast, lunch and morning and afternoon breaks. t Advances in Pile Driving Technology Speaker Presentations Wednesday, May 18 9:00 a.m. Dr. Shawn Wilson, Louisiana Department of Transportation and Development PDCA has selected Dr. Shawn Wilson with the Louisiana Department of Transportation and Development (LADOTD) as the keynote speaker for the opening ceremony at the PDCA 20th Annual International Conference & Expo 2016. On Dec. 16, 2015, John Bel Edwards (then governor-elect) announced Dr. Wilson as the secretary of the LADOTD. Dr. Wilson has served as chief of staff for the LADOTD, a role he filled for 10 years under three previous secretaries and under the executive administration of two governors. A proud product of New Orleans public schools, Wilson earned a B.A. in Urban and Regional Planning from the University of Louisiana, where he served as student government president and member of the University of Louisiana System Board. He holds a Master of Public Administration degree and recently earned a Ph.D. in public policy. As secretary of the LADOTD, Wilson is in charge of maintaining public transportation, roadways, bridges, canals, select levees, floodplain management, port facilities, commercials and aviation, which includes 69 airports within the state. will explain how material and equipment changes stack up in terms of meeting design requirements and improving pile drivability will be examined in detail. 11:25 a.m. Ethical and Risk Aspects of Pile Driving Subcontracts Alexander Filotti, M.B.A., P.E., Underpinning & Foundation Skanska, Inc. In this presentation, Alexander Filotti will address ethical and risk aspects of pile driving subcontracts in the Northeast region of the U.S., reflecting the technical and normative advances of the industry such as soil investigations, capacity predictions, load test result interpretations and correlations and new standard contracts adopted by major owners (e.g., City of New York). Thursday, May 19 8:30 a.m. General Business Meeting Keynote Driven Piles – Research to Practice Silas Nichols, Federal Highway Administration This presentation will summarize current work in FHWA to advance the state of the practice in the design and construction of driven pile foundations, and discuss the impact for the PDCA membership. This will include an overview on the recently completed Geotechnical Engineering Circular (GEC) 12 on design and construction of driven piles, work on GEC 9 on the design of deep foundations for lateral loading and research efforts focused on design methods for large diameter, open-ended pipe piles. 10:15 a.m. Important Considerations for Designing Sheet Piling Structures Dick Hartman, Hartman Engineering Anchored walls and cofferdams using sheet piling are constructed every day. Most of them perform as intended, but some experience significant problems or collapse. In this presentation, Dick Hartman will discuss several difficulties that can be encountered and ways to prevent them during both the design and construction process. Examples 10:30 a.m. Installation of Large Diameter and case studies will be used for illustration. Pipe Piles with Constrictor Plates – Kentucky Lakes Bridge Project 10:50 a.m. Ben White, Key Factors to Achieving GRL Engineers, Inc. Construction Cost Efficiency with Seventy-two-inch diameter pipe piles Today’s Pile Driving Technology were chosen as the pier foundation piles Gerry McShane, for the Kentucky Lakes Bridge in Aurora, Service Steel Warehouse Kentucky. Constrictor plates were installed The continuous charge toward ever increaswithin the piles to force a soil plug and ing construction cost efficiency has led to increase pile resistance once the minimum advances in sheet pile material composition, penetration depth was reached. In this presentation, Ben White profile design, weldability, strength, ductility and method of forming. Matching developments in equipment will discuss the design phase test pile program, the pile installation design contribute to gains in efficiency. The key factor to realizing process, equipment used for installation and results from dynamic these gains is in achieving improvements in pile installation. Gerry testing of several production piles. (Continued on Page 6) 5 20th Annual International Conference and Expo 2016 Speaker Presentations (continued) Thursday, May 19 (continued) 11:05 a.m. Optimizing and Verification of the Soil-Pile Relationship through Geotechnical Instrumentation Daniel Benedetto, Eustis Engineering Services, LLC Through the use of strain gage instrumentation and static load testing, the design of an efficient pile can be accomplished. Geotechnical instrumentation has advanced and enhanced the design engineer’s capabilities to understand soil characteristics and the ability to design friction piles of variable length from a single, statically tested pile. This presentation will show how a recent project employed geotechnical instrumentation as part of a static load test program to optimize a driven pile. Through the use of the vibrating wire (VW) strain gauges embedded within the square pre-cast concrete piles, the design engineer was able to accurately observe the stresses within the pile during a static load and observe the supporting soils interaction with the pile. Daniel will discuss the instrumentation data, results of the load test, and how utilizing instrumentation enhanced the overall project design. 11:40 a.m. Driven Piles as a Ground Improvement Strategy Paul Axtell, Dan Brown and Associates This presentation will describe examples of the application of driven piles to accomplish ground improvement for the support of embankments and other structures. In many conditions, driven piles of the appropriate types can offer advantages of cost effectiveness and schedule over traditional ground improvement techniques. Performance advantages and quality assurance can comprise other advantages of driven piles in this application in some circumstances. In this presentation, Paul Axtell will describe the types of conditions that are most conducive to the use of driven piles over alternative ground improvement technologies, and will include several case histories. Companion’s Program PDCA will host another exciting Companion’s Program with special activities throughout the conference. This PDCA tradition brings spouses and guests together once again to renew old friendships and create new ones. Thursday, May 19 • All companions and guests are welcome to register for the Third Annual PDCA Scholarship Fundraiser – Bowling Tournament at Rock ’N’ Bowl • Opening Reception at the Astor Crowne Plaza in the Grand Ballroom Wednesday, May 18 • Opening Ceremony Breakfast – Astor Crowne Plaza in the St. Charles Ballroom • Lunch cruise aboard the Steamboat Natchez Tour will depart from the Toulouse Street Wharf. The two-hour cruise will include a Creole lunch buffet, live Jazz by Duke Heitger’s Steamboat Stompers and the Captain’s narration. • Following the cruise, you will be picked-up from the wharf with private transportation to the next destination, Mardi Gras World, where you will get a behind-the-scenes look at New Orleans Mardi Gras Floats. The 6 one-hour, guided tour gives you an all-access pass, winding through the massive studio where these magnificent floats are built. You’ll learn about the history of this unique and festive tradition and go beyond its reputation to get a deeper understanding of the real Mardi Gras. After the tour, you’ll get to try a slice of the famous Mardi Gras king cake and make your very own Mardi Gras mask to compete at the annual dinner back at the Astor Crowe Plaza. •A nnual Conference Reception and Dinner in the Astor Ballroom •C ompanion’s Program Breakfast – Club Lounge • Companions will depart the Astor Crowne Plaza on provided transportation to the Destrehan Plantation. Established in 1787, Destrehan is the oldest documented plantation home in the lower Mississippi Valley. Built by Free Person Of Color Charles Pacquet, she has survived colonial and civil wars, occupation by the union Army, abandonment, decay and restoration, and has now been preserved in all its glory for you to enjoy. Following your guided tour will be a picnic lunch and return trip to the Astor Crowne Plaza. Cristina Muraca/Shutterstock.com John S. Sfondilias/Shutterstock.com Tuesday, May 17 Advances in Pile Driving Technology Daily Agenda Monday, May 16, 2016 Wednesday, May 18, 2016 7:00 AM Pile Driving Inspection Course Registration 7:00 AM Registration Open – Grand Ballroom Foyer 8:00 AM Pile Driving Inspection Course Begins – Iberville 4:00 PM PDCA Executive Committee Meeting – Presidential Suite 6:30 PM PDCA Executive Committee Reception & Dinner Mr. B’s Bistro Exhibit Hall Open – Grand Ballroom 7:30 AM Opening Ceremony Breakfast – St. Charles 10:00 AM Break – Grand Ballroom 10:15 AM General Sessions – Astor Ballroom I/II 11:00 Companion’s Program – Lunch Cruise aboard the Steamboat Natchez 12:00 PM Business & Awards Luncheon – St. Charles Ballroom 2:00 PM Break – Grand Ballroom Companion’s Program – Mardi Gras World Tour and Mask Making activity 2:30 PM Committee Meetings 6:30 PM Annual Dinner Reception – Astor Gallery 7:30 PM Annual Dinner and Entertainment – Astor Ballroom Tuesday, May 17, 2016 Thursday, May 19, 2016 8:00 AM Exhibitor Set-Up – Grand Ballroom 7:30 AM Registration Open – Grand Ballroom Foyer 8:00 AM Board of Directors Breakfast and Meeting – Burgundy Exhibit Hall Open – Grand Ballroom 9:00 AM Registration Open – Grand Ballroom Foyer 8:00 AM General Business Meeting Breakfast – St. Charles Ballroom 11:30 AM PDCA 3rd Annual Scholarship Fundraiser Luncheon & Bowling Competition 8:30 AM Companion’s Program Breakfast – Club Lounge 5:00 PM Opening Reception – Grand Ballroom 10:00 AM Break – Grand Ballroom 7:00 PM Board of Directors, Past Presidents, Committee Chairs and Spouses Dinner Red Fish Grill Companion’s Program – Destrehan Plantation Tour and Lunch 10:30 AM General Sessions – Astor Ballroom I/II e2dan/Shutterstock.com 12:15 PM Exhibitor’s Luncheon – Grand Ballroom 2:00 PM Exhibitor Breakdown – Grand Ballroom ABCD t PILEDRIVER | 7 20th Annual International Conference and Expo 2016 Conference Sponsorship Opportunities The tradition of featuring PDCA annual conference sponsors in a highly visible, consistent and professional manner throughout the conference will be continued with emphasis in 2016. All sponsoring companies will receive on-site advertising on signage, recognition during announcements throughout the conference, their logo on annual conference marketing materials, as well as recognition in the PDCA e-Letter, PileDriver magazine, the PDCA website, social media sites and the new PDCA mobile app. t Platinum Level Sponsorships – $3,000 Choose one package below. This level includes a full page ad in the atten­ dee notebook and your logo on the brochure and notebook cover pages. ●● Annual Dinner Sponsorship of the annual dinner includes full dinner buffet, all-evening hosted bar with Mardi Gras theme and your company logo highlighted ●● Annual Dinner Entertainment Sponsorship of entertainment for the Mardi Grasthemed annual dinner with your logo highlighted ●● Project of the Year Awards Program (limit two sponsors) Sponsorship of the PDCA Project of the Year Awards program includes your company information and logo presented in the video loop at the annual conference and a company representative to present the awards ●● Business and Awards Luncheon SOLD OUT Sponsorship of the luncheon includes the lunch buffet and awards presentation branded with your company logo ●● NEW! Conference mobile app SOLD OUT Sponsorship of the new mobile app includes your company logo on the splash page of app when downloaded and a rotating banner ad t Gold Level Sponsorships – $2,000 Choose one package below. This level includes a half-page ad in the attendee notebook. ●● Companion’s Program Sponsorship of the companion’s program, including the off-site activities, breakfasts, luncheons, receptions and annual dinner and entertainment ●● Guest Room Key Cards SOLD OUT Your company name and logo printed on every hotel guest’s room key – Deadline: March 15, 2016 ●● Name Badge Lanyard SOLD OUT Your company name and logo printed on the conference name badge lanyards given to all attendees – Deadline: March 15, 2016 ●● Opening Ceremony Breakfast Sponsorship includes opening ceremony plated breakfast and entertainment with your company logo highlighted ●● Opening Reception Sponsorship includes heavy buffet-style hors d’oeuvres, carving stations and hosted bars with your company logo highlighted ●● Exhibitors Luncheon Sponsorship includes networking buffet lunch in the exhibit hall with your company logo highlighted 8 t Silver Level Sponsorships – $1,000 Choose one package below. ●● Refreshment Breaks Sponsorship includes the morning and afternoon refreshment breaks in the exhibit hall branded with your company logo ●● Third Annual Scholarship Fundraiser – Bowling Tournament Sponsorship includes bowling tournament, lunch, beverage service and team t-shirts branded with your company logo ●● Opening Reception Specialty Cocktails SOLD OUT Sponsorship includes New Orleans-themed specialty cocktail bar with specialty glass ●● Annual Dinner Reception Sponsorship of one-hour annual dinner reception with a hosted bar and hors d’oeuvres and your company logo highlighted ●● General Business Meeting Breakfast and Keynote Speaker Sponsorship of general business meeting buffet breakfast and keynote speaker t Sponsorship Add-on Opportunity – $250 ●● Rotating banner ad on NEW conference mobile app t PDCA Project of the Year Sponsorship The Project of the Year Awards program, sponsored by American Piledriving Equipment, is an important part of PDCA. It is a time to recognize and pay tribute to the projects that PDCA members construct and complete every day in the pile driving industry, a time when new ideas can be brought to the forefront and an opportunity to share best practices with your fellow pile drivers. Sponsor benefits include a company logo printed on Project of the Year advertising, participation in the PDCA Project of the Year Award presentation and company information and logo presented in the PDCA Project of the Year video loop that is shown continuously at the annual conference and in the Project of the Year Award summary in PileDriver magazine. Sponsorship for the PDCA Project of the Year is $3,000 and is limited to two companies. Advances in Pile Driving Technology Exhibitors The exhibit hall will be located in the Grand Ballroom on the second floor of the Astor Crowne Plaza. Exhibitors at the PDCA 20th Annual International Conference & Expo 2016 will have the opportunity to display information about their company, products, services and materials for the duration of the conference. Exhibitor’s fee includes an eight-foot by ten-foot pipe and draped booth. Booth back drape is eight feet high and sidewalls are three feet high. Booths also include one six-foot skirted table, two chairs, a wastebasket, a 5-amp 120-volt outlet and a company sign. The exhibit hall is located near the general session room, providing easy access and a constant flow of traffic between the general sessions and exhibitors. Along with the exhibits, the exhibit hall will be the site of the opening reception, all morning and afternoon refreshment breaks and exhibitor’s luncheon. Booth selection is made on a first come, first paid-in-full basis, only after the company completes and submits a conference registration form and payment to PDCA. Exhibitors are encouraged to stay through the entirety of the event which concludes on Thursday, May 19, at 2:00 p.m. after the Exhibitors Luncheon. t Exhibitor fees PDCA member (Two registrants): $1,600.00 PDCA member (One registrant): $1,200.00 Non-member (Two registrants): $2,200.00 Non-member (One registrant): $1,800.00 Additional registrant: $725.00 Exhibit Hall Schedule Tuesday, May 17, 2016 8:00 a.m. – 4:00 p.m. Exhibitor Set-up 5:00 p.m. – 7:00 p.m. Opening Reception Wednesday, May 18, 2016 7:00 a.m. – 6:30 p.m. Exhibit Hall Open Thursday, May 19, 2016 7:30 a.m. – 2:00 p.m. Exhibit Hall Open 2:00 p.m. – 4:00 p.m. Exhibitor Break-down Exhibit Hall Floorplan DOOR LESTER TABLE T1 TABLE TABLE T2 T3 Triad Piling Products TABLE T4 R.W. Conklin Steel TABLE T5 Hammer & Steel, Inc. TABLE T6 Specialty Piling Systems, Inc. TABLE TABLE T7 T8 BAUERPileco, Inc. Skyline Steel TABLE TABLE T9 T10 Cox Industries STAIRS ENTRANCE 8' 100 101 200 MKT Manufacturing Consolidated Pipe and Supply Link-Belt Cranes 102 103 202 DarkHorse Industies, LLC Cajun Deep Foundations, LLC Piling Products 201 300 Bermingham Foundation Solutions Pile Driving Solutions 203 302 Pile Hammer Equipment American Equipment & Fabricating Corp 301 ICE 303 Pile Dynamics, Inc. 400 Trinity Products, Inc. 401 Lodge Lumber Company, Inc. 500 Pittsburgh Pipe 402 403 502 503 Junttan Oy Ziking Steel Pipe, Inc. Gilbert Products, Inc. J.D. Fields & Co., Inc. 104 Monotube, LLC 505 PVE Equipment USA, Inc. 11' 106 Tolunay-Wong Engineers, Inc. 108 Meever USA 501 J.D. Fields & Co., Inc. 507 107 206 207 Richard Goettle, Inc. American Piledriving Equipment Independence Tube Corp. 109 GMS Piling Products LLC 208 Giken America Corp. 209 3M 306 Eustis Engineering Services, LLC 308 Instantel 307 Atlas Tube 309 Dr. Edward J. Walter & Associates 406 407 506 Essve Tech, Inc. PilePro L.B. Foster Company 408 Jinnings Equipment LLC 409 Eskridge, Inc. 508 Liebherr Nenzing Crane Co. 509 Aggregate Technologies ESC Steel, Inc. 6'– 4" 9 ATTENDEE REGISTRATION Complete & Return to: PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065, fax to 904-215-2977 or email to Holly@piledrivers.org. Please print clearly or type. Photocopy this form or download additional forms from www.piledrivers.org. **Please print your information EXACTLY how you would like it to appear on name tags, attendee packet, etc.** Type: (please check one) Contractor Supplier Manufacturer Engineer Service Provider Other Company: Address: Suite: City: State: Zip: Province: Country: Postal Code: Phone: Website: Main Contact: Email: Name: Email: Name: Email: Name: Email: Registration Type # of Registrations Amount Total PDCA or Co-operating Sponsor Member × $850 $ ________________ Member – Pile Driving Inspection Course × $145 $ ________________ Non-Member × $950 $ ________________ Non-Member – Pile Driving Inspection Course × $185 $ ________________ On-Site × $950 $ ________________ Federal, State, City or County Employee × $500 $ ________________ Student × $350 $ ________________ Attendee Registration $ ________________ Total Silent Auction Item – please indicate if you or your company would like to contribute a silent auction item(s) Item(s): ________________________________________________ ________________________________________________ For travel and hotel information contact: Lorraine Engelman Blue Ribbon Travel / American Express 11 – 16 154th St. Whitestone, NY 11357 Tel: 718-767-5455 Fax: 718-767-5601 lorraine@travelblueribbon.com www.travelblueribbon.com 10 Will you require a Certificate of Completion for Professional Development Hours? Yes No Please see next page for Exhibitor Registration and the 3rd Annual PDCA Scholarship Fundraiser – Bowling Tournament sign-up. Sponsorships, payment information and additional options on last page. EXHIBITOR REGISTRATION Complete & Return to: PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065, fax to 904-215-2977 or email to Holly@piledrivers.org. Please print clearly or type. Photocopy this form or download additional forms from www.piledrivers.org. **Please print your information EXACTLY how you would like it to appear on name tags, attendee packet, etc.** Type: (please check one) Contractor Supplier Manufacturer Engineer Service Provider Other Company: Address: Suite: City: State: Zip: Province: Country: Postal Code: Phone: Website: Main Contact: Email: Name: Email: Name: Email: Name: Email: Registration Type Amount Total PDCA Member Dual Exhibitor Registration – Includes 2 Registrations SOLD OUT $ ________________ PDCA Member Single Exhibitor Registration – Includes 1 Registration SOLD OUT $ ________________ Non-Member Dual Exhibitor Registration – Includes 2 Registrations SOLD OUT $ ________________ Non-Member Single Exhibitor Registration – Includes 1 Registration SOLD OUT $ ________________ Additional Exhibitor Registration SOLD OUT $ ________________ Exhibitor Registration $ ________________ Total Silent Auction Item – please indicate if you or your company would like to contribute a silent auction item(s) Item(s): ________________________________________________ ________________________________________________ The 3rd Annual PDCA Scholarship Fundraiser – Bowling Tournament Bowler 1:__________________________________T-shirt size:____ Bowler 2:_________________________________ T-shirt size:_____ Bowler 3:__________________________________T-shirt size:____ Bowler 4:_________________________________ T-shirt size:_____ Bowler 5:__________________________________T-shirt size:____ Bowler 6:_________________________________ T-shirt size:_____ # of Bowlers ________________ × $75 Total: $ ________________ Additional Fund Contribution $ ________________ Fundraiser and Luncheon Total $ ________________ 11 SPONSORSHIPS, OTHER OPTIONS & PAYMENT INFORMATION Sponsorship Number Available Amount Total Platinum Level – Annual Dinner Unlimited $3,000 $ ________________ Platinum Level – Annual Dinner Entertainment Unlimited $3,000 $ ________________ 1 $3,000 $ ________________ Platinum Level – Project of the Year Awards Program Platinum Level – Business and Awards Luncheon SOLD OUT Platinum Level – Conference mobile app SOLD OUT Gold Level – Companion’s Program Unlimited Gold Level – Guest Room Key Cards SOLD OUT Gold Level – Name Badge Lanyard SOLD OUT $ ________________ $2,000 $ ________________ Gold Level – Opening Ceremony Breakfast Unlimited $2,000 $ ________________ Gold Level – Opening Reception Unlimited $2,000 $ ________________ Gold Level – Exhibitors Luncheon Unlimited $2,000 $ ________________ Silver Level – Refreshment Breaks Unlimited $1,000 $ ________________ Silver Level – Bowling Tournament Unlimited $1,000 $ ________________ SOLD OUT Silver Level – Opening Reception Specialty Cocktails $ ________________ Silver Level – Annual Dinner Reception Unlimited $1,000 $ ________________ Silver Level – General Business Meeting Breakfast and Keynote Speaker Unlimited $1,000 $ ________________ 8 $250 $ ________________ Mobile App Banner Sponsorship Add-on Sponsorship Total Other Options # of Registrations Companion’s Program $ ________________ Amount Total × $325.00 $ ________________ × $100.00 $ ________________ Options Total $ ________________ CONFERENCE GRAND TOTAL $ ________________ Companion’s Name and Email address: Children (Under the age of 21) Name: Please list any food allergies for anyone in your group: ____________________________________________________________________ Return the completed Registration Form and Payment to: PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065 Registrations with credit card information may be faxed to PDCA at 904-215-2977 or scanned and emailed to holly@piledrivers.org Payment Information (All information must be completed to process your registration form): Check One: Check Visa MC AMEX Discover Exp. Date: ________/________ Name On Card: ________________________________________________________________________________________CVV (3 or 4 Digit Code):______________ Credit Card Number:_________________________________________________________________________________________________________________________ Statement Billing Address:____________________________________________________________________________________________________________________ City: _______________________________________________________State: ______________________________________Zip Code:_____________________________ Province: ___________________________________________________Country: ___________________________________Postal Code:__________________________ Signature:_______________________________________________________________________________________________________________________________ REFUND POLICY: 50% REFUND UP TO April 11 – NO REFUNDS AFTER April 11, 2016 12