2010 INTERNATIONAL BUSROADEO

REGISTRATION FORM

Crowne Plaza City Centre

Cleveland, OH

April 30 - May 5, 2010

This form is for Roadeo participants, team supervisors and committee member registration only. Those registering for the Bus & Paratransit Conference should use the conference registration form located at .

REGISTRATION DEADLINE: All registrations must be received by APTA on or beforeApril16, 2010. There will be NO registrations accepted after April 16 and NO on-site registration at the competition.
REFUNDS: Registration fees will be refunded if a request is received in writing and post-marked no later than April 9,2010.
A 20% cancellation fee will be withheld. There will be no refunds after the April 9, 2010 deadline. You may transfer your registration fee at any time without penalty to another person in your organization attending the 2010 International Bus Roadeo.
Each APTA member transit system is entitled to send one (1) operator in either the 40 foot or 35 foot category and/or one (1) maintenance team. APTA reserves the right to interpret this rule according to the transit system’s membership status.
REGISTRATION FEES FOR BUS ROADEO TEAMS:
  • $ 680 Operator
  • $ 1,995 Mechanicsteam (maximum of three persons)
  • $2,400 Operator/mechanics team
  • $ 420 Supervisor
  • $ 180 International Bus Roadeo Committee Member
Each attendee registration fee includes admission to all events associated with the Bus Roadeo and the Bus & Paratransit Conference. Spouse or guest (not applicable to fellow employees), are admitted for a $125 fee to all Roadeo events, and the Bus & Paratransit Conference Welcome Reception, but must be registered.
PRIMARY CONTACT INFORMATION (not registrant information)
Company______
Contact person______
Title______
Address ______
City______State______Zip______
Telephone______Fax______E-mail______
FEES & PAYMENT
Registrations will not be processed without payment. Include appropriate fee made payable to APTA.
Check all that apply:
 Operator(s)  Mechanics Team  Operator/mechanics team  Supervisor(s)  Committee Member(s)
$680 each $1,995 team $2,400team $420 each $180 each
 Spouse/Guest NEW! (not applicable to fellow employees)
$125 each(includes Welcome Reception and Awards Banquet)
Check enclosed  Visa  MasterCard AMEX Discover Card
Account No. ______Exp. Date ______
Total Paid $______Name ______

THIS PAGE ALONE IS NOT THE REGISTRATION FORM.

PLEASE COMPLETE REGISTRATION INFORMATION ON THE BADGE INFORMATION FORM FOR EACH REGISTRANT.

2010 INTERNATIONAL BUSROADEO

BADGE INFORMATION FORM

Crowne Plaza City Centre
Cleveland, OH
April 30 - May 5, 2010

Attach additional pages if necessary

Badge Information
 Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee Member
Name ______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name(not applicable to fellow employees)______
$125 each (Please pre-register spouse/guestto avoid registration delays)
Badge Information
Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee Member Name______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name (not applicable to fellow employees)______
$125 each (Please pre-register spouse/guest to avoid registration delays)
Badge Information
 Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee MemberName______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name (not applicable to fellow employees)______
$125 each (Please pre-register spouse/guest to avoid registration delays)
2010 INTERNATIONAL BUSROADEO

BADGE INFORMATION FORM

Crowne Plaza City Centre

Cleveland, OH

April 30 - May 5, 2010

Attach additional pages if necessary

Badge Information
 Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee MemberName______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name (not applicable to fellow employees)______
$125 each (Please pre-register spouse/guest to avoid registration delays)
Badge Information
Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee Member Name______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name (not applicable to fellow employees)______
$125 each (Please pre-register spouse/guest to avoid registration delays)
Badge Information
 Operator -  35 Foot  40 Foot  Mechanic  Supervisor  Committee MemberName______
Nickname______
Title______
Work Address ______
City______State______Zip______
Telephone______Fax______
E-mail (confirmation will be sent here)______
Spouse/guest name (not applicable to fellow employees)______
$125 each (Please pre-register spouse/guest to avoid registration delays)