WorldWide ATT e TION REGISTRA TENDEE 2023 DownHome DrillFest™ 2023 TENDEE REGISTRA REGISTRATION TENDEE REGISTRATION 850-547-0102 October 17-19, 2023 Total ter __ n. ___ W _____ ____________ ______________ ______________ ___ __________ ______________ ______________ a ___ T $100 Ozark Empire Fairgrounds and Event Center Rules and Regulations. __________________________________ Signature:__________________________________________ Date: Address: _______________________________________________________________________________________ Card Billing Printed Name:______________________________________ Expiration Date:_________________ Security Code #:________ Card #:___________________________________________ Master Card Discover Visa American Express Day Excursion ednesday Ladies’ other registrants of the same company for Company) REGISTRANT ype Telephone:_ State/Province:________________________________ Zip/Postal Code:_____________ Country:____________ ________ Address:____________________________________________ City:___________________ Company Name:____________________________________________________________________________________________ Name:___________________________________________ E-mail:_______________________________________________ Mailing __ ______ __ Te _____________________ Fax:____________________ Website:_________________________________________ Member of: State Association(s):_______________________________________________________________________________ Are you involved in? Const./Geotech. ___ HDD ___ Env. ___ Expl./Blast ___ Geothermal ___ Shallow Gas/Oil ___ Min. ___ W Badges: (Please list every attendee as you wish their name badges to read. Attach a separate piece of paper for additional names.) Name:____________________________________________ Name:______________________________________________ Company:_________________________________________ Company:___________________________________________ Name:____________________________________________ Name:______________________________________________ Company:_________________________________________ Company:___________________________________________ How many? Badge T Cost per badge 1 Owner / Contractor / Manager (MAIN $100 Spouse / Children (12 and under) $0 $ N/C ALL $25 Student (with current Student ID) $25 W $35 Thursday Informative Sessions (A Wednesday & Available Continuing Education Units*) Attending Session Attending Session Troy Cunningham - The Good, the Bad, and the Ugly Justin Lewis - Casing Advancement Don Teeters - Well Development & Rehab g Ron Peterson - Air Drilling Shawn Marlow - Water Well Visuals Ronnie Jones - Successful Business Management Requires . . . LaTisha Shipman - Handling Warranties T Troy Cunningham and Tony Navarrette - What You do Before You Roll a Tire *To _ ________ otal for CEUs = ________ $ Grand Total Complete, scan, and e-mail to DHDF@worldwidedrillingresource.com; OR mail to: WorldWide Drilling Resource, Inc. (DHDF), PO Box 660, Bonifay, FL 32425-0660; OR Fax to: 850-547-0329. Questions? Call 850-547-0102 Method of Payment: CONCESSIONS / BAR will be available on-site. (NO outside food or beverages permitted.) I agree to be responsible for all registrants included with my company for adherence to *No certificate - No Charge. If you need CEU credits, there is a $35 charge for each session. 42 SEPTEMBER 2023 WorldWide Drilling Resource®
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