Beam Pumping Workshop Registration Form

Beam Pumping Workshop Registration Form

REGISTRATION FORM

2012 International Sucker Rod Pumping Workshop

September 25 - 28, 2012

Renaissance Hotel

Oklahoma City, OklahomaUSA

Name:______

Company:______

Mailing Address:______

City, State, and Zip: ______

Country: ______

Phone:FAX:

Email:______

√ / Description / Fee / Total
Beam Pump Workshop
Thursday and Friday, September 27 and 28
Sucker Rod Pumping Workshop / $375before Sept. 8
$ 475on site
CD-ROM ofPresentations (Will be distributed to Workshop attendees after theworkshop) (Note: Presentations will also be available on the web.) / $25.00
Pre-Workshop Continuing Education Courses (The coordinator for each course is shown below. Each course will be from 8:00 am to 5:00 pm. Choose a one-daycourse on Tuesday and another on Wednesday. Or choose a two-day course for Tuesday and Wednesday. Please check the course(s) you wish to take.)

Tuesday, September 25, 2011 --- One Day Courses

Sucker Rod Pumping 101 – Basic Sucker Rod PumpingInstructor --- Tom vanAkkeren / See below / See below
Sucker Rod Pumping 102 – Shooting and Interpreting Fluid Levels in Sucker Rod Wells(Hands On Course) Instructor --- Lynn Rowlan / See below / See below
Sucker Rod Pumping 201a –Dynagraph Analysis
Instructor --- Louis Ray / See below / See below

Wednesday, September 26, 2011 --- One Day Courses

Sucker Rod Pumping201b – Troubleshooting Pump and Rod Problems
Instructor --- Lynn Rowlan / See below / See below
Sucker Rod Pumping 103 – Sucker Rod PumpingAutomation Hardware and Software
Instructor --- Anthony Allison / See below / See below

Tuesday and Wednesday, September 25 and 26, 2010 --- Two Day Courses

Sucker Rod Pumping 202 – Care, Handling, Best Practices, Failures
Instructors --- Mike Brock, Mike Poythress, Russell Stevens, Justin Conyers / See below / See below
Sucker Rod Pumping 203 – System Design
Instructor --- Norm Hein / See below / See below
Course Fees
Cost for one day / $ 225 before Sept.8
$ 325 on site
Cost for two one day courses or one two day course / $ 375 before Sept. 8
$ 475 on site
Total (Workshop and Courses)

Payment options: Check, Money Order, Credit Card: Visa, Master Card, or American Express

Card Number, Expiration Date, and Billing Zip Code

Signature

If paying by credit card, this form can be e-mailed to Ronda Brewer at the e-mail address given below. If paying by check or money order, please make checks payable to Southwestern Petroleum Short Course and mail to the address below:

Southwestern Petroleum Short Course

Box 43111

LubbockTX 79409-3111

Advance registration will be accepted if received on or before Aug. 20, 2012.

No on-line, FAX, or telephone reservations will be accepted after Aug. 20. On-site registration will be possible at the Workshop.

Fees are non-refundable after Aug. 19, 2012.

Registration QuestionsTechnical Questions

RondaBrewerDr. Jim Lea

806/

806/742-3502 (FAX)

Cleon Dunham

512-732-0545