Attendee Registration Form

Auto Glass Week Registration includes all seminars, workshops, social events and admittance to Auto Glass Week Exhibition/Extravaganza. Note: The Gala Awards Reception and Ceremony is not included with your registration. You may purchase tickets below when you register. Fees valid for non-supplier attendees only. Non-sponsoring suppliers registration fee is $500.00 per person. To become a sponsor, contact hbiller@glass.com or visit the Sponsor section of the event website.

Early Bird Discount (before 5/31/13): $179 for Primary Attendee, $149 for Employee/Spouse, $500 for Non-Exhibiting AGW Supplier.

You will not be required to provide your credit card information until you are transferred to our secure online payment site.
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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 Registration Type:

Attendee #2 - (OPTIONAL)
Attendee's Full Name: Attendee's Company:
Select Registration Type:

Attendee #3 - (OPTIONAL)
Attendee's Full Name: Attendee's Company:
Select Registration Type:

Gala Awards Reception and Ceremony - Friday, September 20, 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 tickets: X $79.00 each

Cancellations & Refunds:

All requests for cancellation and/or refunds must be received in writing by July 19, 2013, 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: info@autoglassweek.com.