Vendor Registration – Feedwater and Secondary Systems Reliability Users Group (FSRUG)

Vendor / Company Name *

Coordinator *

First

Last

Coordinator should be listed as the first attendee if attending.

Coordinator Email *

Coordinator Phone

Attendee #1 *

First

Last

Attendee # 1 Email *

Attendee #1 Days attending

Monday
Tuesday
Wednesday
Thursday

Add additional attendees? *

Yes
No

Attendee #2

First

Last

Attendee # 2 Email

Attendee #2 Days attending

Monday
Tuesday
Wednesday
Thursday

Attendee #3

First

Last

Attendee #3 Email

Attendee #3 Days attending

Monday
Tuesday
Wednesday
Thursday

Attendee #4

First

Last

Attendee #4 Email

Attendee #4 Days attending

Monday
Tuesday
Wednesday
Thursday

FSRUG will be giving out door prizes for participating nuclear plants. Vendors will be given the opportunity to provide sponsored product(s) for door prizes. Please indicate if your company will sponsor a product as a door prize ($50-$100 value)?

Yes
No

**Door prize recipients will be selected at random and will not be provided to a select plant

What topic will your company be presenting to the group?

Other Comments

Vendor Fee

Price: $ 1,600.00

Vendor Pricing includes two representatives for the week. Each additional vendor representative will be charged $200/day

Additional attendee fee

$200 per day per attendee

Total

$ 0.00