Kentucky Recycler's 
Conference & Trade Show

REGISTRATION FORM
First Name: MI Last Name:
Title: Name on Badge:
Company / Gov.
Address:
City: State: Zip:
Phone: - - Fax: - -
E-mail Address:
 
Please Check all that Apply:
Full Conference Registration $150.00 (includes reception, pig roast, exhibit hall, educational sessions & tour of MRF)
Tour Single-Stream MRF – Lexington Urban County Government – No Charge
Add Golf Outing – 10:00 AM Shotgun Start @ $50.00 Handicap
University of Kentucky's "Big Blue Course" located at 4850 Leestown Road, Lexington, KY
 
Sponserships Available:
Silver – $600 Sponsors Lunch (includes registration fee for one)
Gold – $1,000 Sponsors Breakfast Tues. & Weds. (includes registration fee for one)
Platinum – $1,200 Sponsors Reception (includes registration fee for two)
   
Exhibit Booths Available:
Cost of exhibit booth is $450.00 and includes one conference registration
 
Hotel Reservations:
Please contact Marriott's Griffin Gate Resort at 859-231-5100 for room reservations.
The hotel is located at 1800 Newtown Pike, Lexington, KY.
Please mention that you are with the conference to receive the discounted room rate of $119 per person.
 
Payment Information:
Payment may be made by check or credit card
 
We accept the Following: Visa Master Card American Express Discover Card
   
Name of Cardholder: Amt of Charge:
Card Number: - - - Expiration Date: Month Year
Card Holder Signature: Security Code :

If  you do not receive a confirmation within 1 week of registration - Please Call BRRC @ 859-626-9117

Make checks payable to: Bluegrass Regional Recycling Corporation

BY PHONE: Call 859-626-9117

BY MAIL: Mail completed form with payment to 540 Recycle Drive, Richmond, KY 40475-2949

BY FAX: Fax completed form with credit card information to 859-626-9118