255281 02/09/16 WSQq
J�% v CITY OF CARMEL, INDIANA VENDOR: 368046
"�, ONE CIVIC SQUARE N T E A CHECK AMOUNT: $*******599.00*
%� ,?� CARMEL, INDIANA 46032 37400 HILLS TECH DRIVE CHECK NUMBER: 255281
.y,�TON��° FARMINGTON HILLS MI 48331-3414 CHECK DATE: 02/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 020416 599.00 EXTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO.
NTEA ALLOWED 20
37400 HILLS TECH DRIVE IN SUM OF$
FARMINGTON HILLS, MI 48331-3414
$599.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
0 I 43-570.04 I $599.00 1 hereby certify that the attached invoice(s), or
2201 201
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesd , Febr4ry 02 6
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
THE WORK TRUCK SHOW 2016 REGISTRATION FORM - worktruckshow.com
Byregislemg to attend The Wank Trude SlmwarebrCod7erence,each attendee agrees to the potenfiedEftution of theirconlactinformabDn and Ihepmmotionaltae byWFAofphofogrephs,video images andelectronic awges taken at those events dtatmayirclude die likeness of Bre attendee.
ATTENDEE • •
First name (1ScHA MA%) Last name (15CHARACTERSMAx) S�— Today's date
l, sf�+ 3 YbD � ' 13� S7-
Company name (mc Rs MAx) Address (30CHARACTERSMAX) V
K4 1pv
City (15 CHARACTERS MAX) State ZIP Code Country J
317.733- D001 3/ 1`733-9005 (.� �n(,� ��. 0_&g V__ Car,otel - /A . yalJ
Phone Fax Individual email Do you authorize NTEA to share your email address with exhibiting co anies that request it?
(for NTEA use only) Yes ❑No(By not checking either box,you will automatically decline.)
By sharing your email,you also provide your consent to receive NTEA e-communications.
APPROPRIATEPLEASE CHECK •
Company type(required) Your job function Your attendance objective Types of trucks and/or trailers you purchase Annual commercial truck and
❑ uck Equipment Distributor ElOwner/Pres/CEO (check all that apply) or distribute(check all that apply) equipment purchases
deet Manager/Truck Buyer, ❑Gen MgrNP ❑Find new suppliers and product lines ❑Class 1(0-6,000 lbs.) ❑Less than$250,000
Commercial or Governmental ❑Fleet Mgr/Truck Buyer Industry training ❑Class 2(6,001-10,000 lbs,) ❑$250,001-$500,000
❑Truck Dealer ❑Sales/Marketing Mgr I Meet with current suppliers ❑Class 3(10,001-14,000 IDS.) $I$500,001-$1,000,000
❑Chassis Manufacturer ❑Financial/Administrative Mgr ❑Find new customers ❑Class 4(14,001-16,000 lbs.) ❑$1,000,001-$5,000,000
❑Leasing Company ❑Engineer/Quality Mgr ❑Find new distributors/dealers ❑Class 5(16,001-19,500 lbs.) ❑$5,000,001-$10,000,000
❑Truck Equipment Manufacturer/Supplier. Shop/Parts Mgr XResearch the truck equipment ❑Class 6(19,501-26,000 lbs.) ❑$10,000,001420,000,000
❑Manufacturer Rep -' Buyer/Purchasing Agent - market-- -- -_ Class-7_(26,001-33,000 lbs.) _._ -❑$20,000,001-$40,000 000_
E3 Media(must submit press credentials) ❑Other ❑Market company products Class 8(33,001 lbs.+) L1$40,000,001-$60,000,000
❑Trade Publication Your purchasing authority JQ Interact with industry peers ❑Truck tractors El$60,000,001-$75,000,000
❑Trade Association El Trailers—vocationalfutility, El Greater than$75,000,000
❑Business Service Provider ❑Final decision'Recommend ❑Trailers—over-the-road
Are you a f rst-time attendee? ❑Specify = BUYERS
❑Yes JA No ❑No role Which describes your truck fleet or market? What Is the average number of commercial bucks in your fleet?
Do you require any mobility ❑Agricultural XGovernmentIMunicipal ❑Less than 10 ❑101-500
assistance? El Construction ElUtilitylrelecom C311-50 C3501-1,000
❑Yes �No ❑Delivery/Cartage ❑Other '%W51-100 ❑Greater than 1,000
REGISTRATIONAdvanced Registration Registration
OPTIONS
Work Truck Show(WTS)&Green Truck Summit(GTS)Complete Member El$599 Ll$6 $ .S
Event Package—Includes all three days of WTS,GTS,Wednesday&Thursday lunch,all concurrent Nonmember El$689 El$799
$
sessions,Opening Reception and President's Breakfast.Does not include Fleet Management 101,
Generation Next,Special Sessions or WTS Blues Bash.
❑Work Truck Show(WTS)Complete Event Package—Includes all three days of Wrs,Wednesday Member ❑$399 ❑$439 $
&Thursday lunch,all concurrent sessions,Opening Reception and President's Breakfast.Does not include Tuesday Nonmember ❑$479 ❑$519 $
GTS general sessions,Fleet Management 101,Generation Next,Special Sessions or WTS Blues Bash.
❑Green Truck Summit(GTS)Conference&Trade Show Package—Includes all three Member ❑$349 ❑$389 $
days of WTS,Tuesday GTS general sessions,Wednesday&Thursday lunch and all concurrent sessions.Does not Nonmember ❑$379 ❑$409 $
include Opening Reception,President's Breakfast,Fleet Management 101,Generation Next,Special Sessions or
WTS Blues Bash.
❑Work Truck Show(WTS)Conference&Trade Show Package—Includes all three days of WTS, Member ❑$269 ❑$299 $
Wednesday&Thursday lunch and all concurrent sessions.Does not include Opening Reception,President's Breakfast, Nonmember ❑$299 11$329 $
Fleet Management 101,Tuesday GTS general sessions,Generation Next,Special Sessions or WTS Blues Bash.
❑Badge Only-Includes WTS admission for one,two or all three days. Member Cl So ❑$25 $
Nonmember ❑$25 ❑$35 $
❑Truck Equipment Manufacturer/Supplier(non-exhibiting)—Includes WTS admission for Member ❑$129 ❑$149 $
one,two or all three days. Nonmember Cl 5159 E3$179 $
SESSIONSAdvanced'Registration Registration
SPECIAL Options
it
El Fleet Management 101:Fundamentals of Truck Fleet Management Member& N
—Tuesday,March 1.Not included in any package. Nonmember E]$149 E)$249 $
❑Special Session:Integrating Millennials into Organizations for Member&
Long-Term Success—Tuesday,March 1.Not included in any package. Nonmember ❑$69 ❑$139 $ ?,
❑Special Session:Straightforward Approach to Lean Implementation for Member& E]$las ❑$z4s $
Truck Equipment Upf•Itters—Tuesday,March 1.Not included in any package. Nonmember
❑Opening Reception—Tuesday,March 1. Member ❑$89 ❑$1 o9 $
Nonmember ❑slog El$129 $
❑Generation Next Leadership Workshop&Networking Reception Member& ❑$25 ❑$35 $
—Wednesday,March 2.Not included in any package. Nonmember
❑President's Breakfast—Thursday,March 3. Member ❑$79 ❑$99 $
Nonmember ❑$99 ❑S119 $
❑Special Session:Indiana LTAP Fleet Educational Program Member&Nonmember with Package Cl so ❑so $
—Thursday,March 3.Not included in any package.Special pricing applies if registered Member&Nonmember without Package ❑$49 ❑$69 $
for Complete Event or Conference&Trade Show packages.
❑WTS Blues Bash—Thursday,March 3.Not included in any package. Member& ❑$25 L3$35 $
Nonmember
PAYME —Payment is with registration KMVWRA
NT METHODOTAL:$
El Check Enclosed(payable to NTEA) Credit Card: ❑Visa required❑MasterCard ❑American Express Return this form to: Fax to:248.489.8590 Register online:worktruckshow.com i;
ACheck 4
Account a Exp.date Billing ZIP code CIV M �1.
37400 Hills Tech Drive . Date Initials
Farmington Hills,MI 48331
f
Name on card Signature For more information about the Association,visit ntea.com or ca11800.441.6832.