Fleet Rep Registration – CC

Utility or Contractor Affiliation

Company Name *

Attending Representative's Information

First Name *

Last Name *

Title *

e.g. Manager, President, Owner

Name Badge *

First name as you would like it to appear on your name badge

Business Contact Information

Address *

City *

State or Province *

Zip or Postal Code *

Phone *

Email *

An individual email address is required to access the EUFMC app and to be listed on the Individual Attendee Listing within the app!

Conference Information

Arrival Date *

Fri. 5/30
Sat. 5/31
Sun. 6/1
Mon. 6/2

Departure Date *

Dining Reservations

Seating is reserved by name at all three dinner events; if you have registered a social guest to attend the EUFMC your guest will be seated with you. There is an opportunity to be seated with vendors on Monday and Wednesday. Tuesday is random seating. You may choose to be seated randomly each night if you prefer. Please indicate below each dinner you will be attending.

Monday Dining Preference *

Not Attending
Seat Randomly
Select My Preference From a List

Monday Dining Vendor List *

Tuesday Dining Preference *

Attending
Not Attending

Wednesday Dining Preference *

Not Attending
Seat Randomly
Select My Preference From a List

Wednesday Dining Vendor List *

Please list any food allergies or dietary practices in the box below:

Dietary Practices

Is This Your First Time Attending EUFMC? *

Yes
No

How many years have you been in fleet? *

Billing

Conference Registration Fee

Total:

$0.00

Name on Credit Card *

First

Last

Credit Card *

Card Number

Expiration

/

Security Code

An email confirmation will be sent to the email address entered on this form. A receipt of your online payment will be sent to the same email address. Click the “Submit Registration” button below to complete your registration.