2021 Safety Seminar Registration

Seminar Registration

2021 Safety Seminar Registration Form must be received in the OTA Office by Wednesday - November 10th, 2021 by 5:00 pm.

A $25.00 Late Registration Fee will be charged for forms received after November 10th..

$175.00 Member Registration Received by November 10th
$275.00 Non-Member Registration Received by November 10th

For hotel reservations, call 541-451-1000. Please indicate that you are with the Oregon Telecommunications Association Safety Seminar group. The cut-off date for making reservations is Monday - November 1st, 2021. Please make your room reservations as soon as possible to ensure access to our group room block.

PLEASE NOTE: Hotel policy require guaranteed number of attendees one week prior to our events. We appreciate your understanding of this. Cancellations made after November 10th and "no-shows" will be charged in full..

There will be a Welcome Reception held on Tuesday evening – November 16 from 5:30 to 7:00 p.m. in the Annex at the Hotel. We hope you can join us! Please RSVP by checking the Attend Welcome Reception boxes below.

Name Email Attend Welcome Reception
Name Email Attend Welcome Reception
Name Email Attend Welcome Reception
Name Email Attend Welcome Reception
Name Email Attend Welcome Reception

Exhibitor Registration

Please complete both the seminar registration form and this exhibit/sponsor form when registering. Any additional charges for power/internet access above what is normally included will be the responsibility of the exhibitor. Six-foot skirted tables are included in exhibit fee. The first two people representing an exhibiting company must register and each pay the full registration fee. Any additional persons pay only the guest meal registration.

Current mask mandate in effect requires all attendees be fully masked except when eating or drinking.

OTA Member -- $75.00 for the first table; $35.00 for each additional table.
Non-Member -- $150.00 per table.

Shipping Instructions: If you will be shipping display materials or related equipment to the seminar site, please ship to arrive no earlier than one day prior to the event and arrange for items to be shipped out within one day after the event.

Best Western Premier Boulder Falls Inn
505 Mullins Drive
Lebanon, Oregon 97355


Reserve this number of tables for my company
Please indicate if you will need power to your exhibit table

Seminar Sponsorship Opportunities

If interested, please select the event(s) that you would like to sponsor or co-sponsor by checking the corresponding box. If you wish to co-sponsor for less than the full donation amount, please specify the level of contribution you wish to make and enter that dollar amount below and in the payment box on the seminar registration form. Sponsors will be acknowledged in the printed seminar program, announced from the podium, with on-site signage and in the following issue of OTA’s quarterly eNewsletter. Thank you for your generous support!

The following opportunities are available for sponsorship:
$150.00 Morning Refreshment Break (coffee, tea, bottled water)
$225 Afternoon refreshment break (coffee, tea, bottled water, soft drinks, cookies, brownies...)
$300 Sponsorship of Evening Welcome Reception (assortment of appetizers)
$250.00 General Sponsorship
Other Contribution Amount: $

Company Information

Company Name *
Contact Person *
Email Address *
Street and Mailing Address *
P.O. Box (optional)
City *
State/Province *
Zip *
Phone *
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