AdvAnces in Pile driving TechnologyPile driving conTrAcTors AssociATion

▶ Industry general sessions

▶ Continuing education credits (CEU, PDH or as required by states)

▶ Exhibit hall

▶ Social/networking events

▶ Opening ceremony with keynote speaker

▶ General business meeting

▶ Companion’s program

▶ PDCA Scholarship Fund fundraising event

▶ Annual dinner and entertainment

conference Brochure, hotel information and registration

May 17–19, 2016Astor Crowne Plaza

New Orleans French QuarterNew Orleans, Louisiana

PlATinUM sPonsors

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DRIVING EQUIPMENT,INC.

PlATinUM sPonsors gold sPonsors

AMERIC

AN

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DRIVING EQUIPMENT,INC.

silver sPonsors silver sPonsors silver sPonsors

cooPerATing orgAnizATion

Astor Crowne Plaza New Orleans French Quarter

20th ANNuAl INterNAtIONAl CONFereNCe ANd exPO 2016

Home of the PDCA 20th Annual International Conference & Expo 2016, the Astor Crowne Plaza is a towering landmark that graces Canal and Bourbon Streets in New Orleans. With uncom-promising hospitality, the Astor Crowne Plaza New Orleans pro-vides luxury, Four Diamond accommodations amid the beating heart of the legendary French Quarter. Discover a rich diversity of elegant comforts and conveniences, including its fresh, modern design, Crowne Plaza Sleep Advantage Bedding in each room, high-speed internet access, f lat screen high-definition televisions, dual-line phones with voicemail, deluxe bath amenities and hair dryer, coffee/tea maker, in-room safe, iron/ironing board and views of Bourbon Street. Their courteous, attentive concierge maintains a strict focus on guest satisfaction, while providing welcoming Louisiana hospitality that will make you feel right at home.

Anyone requiring travel assistance or who has special needs of any kind should contact PDCA travel agent, Lorraine Engelman, Blue Ribbon Travel, at 718-767-5455, or email lorraine@travelblueribbon.com.

Accommodation detailsAstor Crowne Plaza New Orleans French Quarter739 Canal StreetNew Orleans, LA 70130

Special conference room rate – $205 per night for a single or double (triple and quad rates available online).

Reservation deadline is Thursday, April 27, 2016!

Individuals are responsible for making their own reservations. To make reservations, please go to booking website by visiting www.bit.ly/1jr5fak, or call the Hotel Front Desk at 1-504-962-0500 and refer to the Pile Driving Contractors Association conference.

If you would like to come early or stay late, the special conference room rate is available three days prior to and three days after the conference dates, based on availability. t

Note: Please print clearly or type all information on the registration form. Incomplete or incorrect information will delay the processing of your registration form. Please read the registration form carefully.

All inquiries should be addressed to the PDCA office by phone, toll-free at 888-311-PDCA (7322) or by email to holly@piledrivers.org.

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AdvANCes IN PIle drIvINg teChNOlOgy

Companies are encouraged to participate in the auction by donating an item for this worthy cause. Any individual or company interested in contributing to the silent auction should contact the PDCA office at 888-311-7322.

silent Auction

The Third Annual PDCA Scholarship Fundraiser for 2016 will be a bowling tournament, sponsored by Cajun Deep Foundations, R.W. Conklin Steel and MKT Manufacturing, at Rock ’N’ Bowl. All proceeds from the tournament will be used to support the PDCA Scholarship Fund, which provides money to students enrolled in university, college or tech-nical programs in construction, construction management, engineering or related industry advancement programs.

PDCA and Rock ’N’ Bowl have gathered all the elements of a good time – impeccable food, delicious drinks, the finest games and a great atmosphere – so you can focus on what matters most: having fun while raising money for a good cause!

Join the friendly competition and let’s see who will take home bragging rights. Each team represented will be provided with their own distinct colored t-shirt.

details The fundraiser will begin at 11:30 AM with a luncheon buffet followed by the tourna-ment. Play will conclude at 2:30 PM, in time to determine the winning teams and present awards.

The maximum number of bowlers on a team is six. You can assemble a full team, par-tial team or just sign up as an individual and PDCA will work out the details.

Cost per player: $75 (Includes lunch buffet, hosted bar throughout the tournament, bowling, bowling shoes, team t-shirt and transportation from the Crowne Plaza to Rock ’N’ Bowl and back). t

Annual reception and dinner entertainment

PDCA will hold its fifth annual silent auction during the confer-ence. Silent auction items will be displayed in the exhibit hall and bidding opportunities will be conducted throughout the conference dates. Final bidding will take place during the Exhibitors Luncheon

on Thursday, May 19, with winners announced at the conclusion of the lunch.

The proceeds from the silent auction will benefit the PDCA Scholarship Fund. t

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the third Annual PdCA scholarship Fundraiser – Bowling tournament

Opening ReceptionJoin us as we kick off the conference with an opening reception in the exhibit hall, sponsored by American Equipment & Fabricating Corp., on Tuesday, May 17 from 5 p.m. – 7 p.m.

This event will feature a hosted bar and heavy hors d’oeuvres, but that’s not all! Since you’re in New Orleans and it’s our 20th, enjoy a traditional New Orleans style Hurricane in your very own PDCA hurricane glass at the sponsored “specialty bar!”

The opening reception is one of the conference’s major networking events in the exhibit hall. Spend quality time with colleagues while checking out the latest technology, equipment and materials in the pile driving industry at the exhibit booths manned by experts who can enlighten you on their products.

Whether you call it Mardi Gras, Fat Tuesday, Carnival or the most famous party in New Orleans, PDCA will provide a festive evening at the annual reception and dinner. This year, PDCA will be the “krewe” for all of the evening’s festivities!

This year’s evening theme is Mardi Gras – what else? – and will start with a cocktail recep-tion, featuring a hosted bar with light hors d’oeuvres. Following the reception will be a triple entrée buffet dinner – New Orleans style that’s being sponsored by Richard Goettle, Inc., Boh Bros. Construction Co., LLC and Shoreline Steel. After dinner, you can look forward to a fun-filled eve-ning of entertainment and social networking that includes a Mardi Gras “mask” competition. So come dressed up with your Mardi Gras mask (Mardi Gras attire also encouraged) and be ready to party! All of this happens on Wednesday, May 18, beginning at 6:30 p.m. in the Astor Gallery. t

3

Pile driving Inspection CoursePresenters: Mohamad Hussein, P.E. and Gerry McShane

20th ANNuAl INterNAtIONAl CONFereNCe ANd exPO 2016

Pile driving is a self-assuring method of deep foundation construction; the process itself makes each and every pile a “tested” product. Design, construction, inspection and testing constitute the four main parts of a piling project. This course is intended to cover methods of quality assurance and quality control (QA/QC), as well as foundation design principles, installation methods and equipment, important inspection aspects, testing procedures and development and application of pile driving criteria. Presentations will also be given on the installation and QA/QC of sheet wall piles.

Who should attend:Contractors, engineers, inspectors, suppliers and anyone involved in the pile driving industry or inspection of driven piles.This one-day course will be offered on Monday, May 16, from 7:30 a.m. to 4:00 p.m. Separate registration is required – see the conference registration form. The course fee includes all material, continental breakfast, lunch and morning and afternoon breaks. t

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Wednesday, May 189:00 a.m.Dr. Shawn Wilson, Louisiana Department of Transportation and DevelopmentPDCA has selected Dr. Shawn Wilson with the Louisiana Department of Transportation and Development (LADOTD) as the key-note speaker for the opening ceremony at the PDCA 20th Annual International Conference & Expo 2016.

On Dec. 16, 2015, John Bel Edwards (then governor-elect) announced Dr. Wilson as the secretary of the LADOTD. Dr. Wilson has served as chief of staff for the LADOTD, a role he filled for 10 years under three previous secretaries and under the executive administration of two governors. A proud product of New Orleans public schools, Wilson earned a B.A. in Urban and Regional Planning from the University of Louisiana, where he served as student government president and member of the University of Louisiana System Board. He holds a Master of Public Administration degree and recently earned a Ph.D. in public policy. As secretary of the LADOTD, Wilson is in charge of maintain-ing public transportation, roadways, bridges, canals, select levees, floodplain management, port facilities, commercials and aviation, which includes 69 airports within the state.

10:15 a.m.Important Considerations for Designing Sheet Piling StructuresDick Hartman, Hartman EngineeringAnchored walls and cofferdams using sheet piling are constructed every day. Most of them perform as intended, but some experi-ence significant problems or collapse. In this presentation, Dick Hartman will discuss several difficulties that can be encountered and ways to prevent them during both the design and construction process. Examples and case studies will be used for illustration.

10:50 a.m.Key Factors to Achieving Construction Cost Efficiency with Today’s Pile Driving TechnologyGerry McShane, Service Steel WarehouseThe continuous charge toward ever increas-ing construction cost efficiency has led to advances in sheet pile material composition, profile design, weldability, strength, ductil-ity and method of forming. Matching developments in equipment design contribute to gains in efficiency. The key factor to realizing these gains is in achieving improvements in pile installation. Gerry

will explain how material and equipment changes stack up in terms of meeting design requirements and improving pile drivability will be examined in detail.

11:25 a.m.Ethical and Risk Aspects of Pile Driving SubcontractsAlexander Filotti, M.B.A., P.E., Underpinning & Foundation Skanska, Inc.In this presentation, Alexander Filotti will address ethical and risk aspects of pile driv-ing subcontracts in the Northeast region of the U.S., reflecting the technical and nor-mative advances of the industry such as soil investigations, capacity predictions, load test result interpretations and correlations and new standard contracts adopted by major owners (e.g., City of New York).

thursday, May 198:30 a.m.General Business MeetinG KeynoteDriven Piles – Research to PracticeSilas Nichols, Federal Highway AdministrationThis presentation will summarize current work in FHWA to advance the state of the practice in the design and construction of driven pile foundations, and discuss the impact for the PDCA membership. This will include an overview on the recently completed Geotechnical Engineering Circular (GEC) 12 on design and construction of driven piles, work on GEC 9 on the design of deep foundations for lateral loading and research efforts focused on design methods for large diameter, open-ended pipe piles.

10:30 a.m.Installation of Large Diameter Pipe Piles with Constrictor Plates – Kentucky Lakes Bridge ProjectBen White, GRL Engineers, Inc. Seventy-two-inch diameter pipe piles were chosen as the pier foundation piles for the Kentucky Lakes Bridge in Aurora, Kentucky. Constrictor plates were installed within the piles to force a soil plug and increase pile resistance once the minimum penetration depth was reached. In this presentation, Ben White will discuss the design phase test pile program, the pile installation process, equipment used for installation and results from dynamic testing of several production piles.

AdvANCes IN PIle drIvINg teChNOlOgy

speaker Presentations

(Continued on Page 6)5

thursday, May 19 (continued)11:05 a.m.Optimizing and Verification of the Soil-Pile Relationship through Geotechnical InstrumentationDaniel Benedetto, Eustis Engineering Services, LLCThrough the use of strain gage instrumen-tation and static load testing, the design of an efficient pile can be accomplished. Geotechnical instrumentation has advanced and enhanced the design engineer’s capabilities to understand soil characteristics and the ability to design friction piles of variable length from a single, statically tested pile. This presentation will show how a recent project employed geotechnical instrumenta-tion as part of a static load test program to optimize a driven pile. Through the use of the vibrating wire (VW) strain gauges embed-ded within the square pre-cast concrete piles, the design engineer was able to accurately observe the stresses within the pile during a static load and observe the supporting soils interaction with the pile. Daniel will discuss the instrumentation data, results of the load test, and how utilizing instrumentation enhanced the overall project design.

11:40 a.m.Driven Piles as a Ground Improvement StrategyPaul Axtell, Dan Brown and AssociatesThis presentation will describe examples of the application of driven piles to accom-plish ground improvement for the support of embankments and other structures. In many conditions, driven piles of the appro-priate types can offer advantages of cost effectiveness and schedule over traditional ground improvement techniques. Performance advantages and quality assurance can comprise other advantages of driven piles in this application in some circumstances. In this presentation, Paul Axtell will describe the types of conditions that are most conducive to the use of driven piles over alternative ground improvement technologies, and will include several case histories.

20th ANNuAl INterNAtIONAl CONFereNCe ANd exPO 2016

speaker Presentations (continued)

Companion’s Program PDCA will host another exciting Companion’s Program with special activities throughout the conference. This PDCA tradition brings spouses and guests together once again to renew old friendships and create new ones.

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tuesday, May 17• All companions and guests are welcome

to register for the Third Annual PDCA Scholarship Fundraiser – Bowling Tournament at Rock ’N’ Bowl

• Opening Reception at the Astor Crowne Plaza in the Grand Ballroom

Wednesday, May 18• Opening Ceremony Breakfast – Astor Crowne

Plaza in the St. Charles Ballroom

• Lunch cruise aboard the Steamboat Natchez Tour will depart from the Toulouse Street Wharf. The two-hour cruise will include a Creole lunch buffet, live Jazz by Duke Heitger’s Steamboat Stompers and the Captain’s narration.

• Following the cruise, you will be picked-up from the wharf with private transportation to the next destination, Mardi Gras World, where you will get a behind-the-scenes look at New Orleans Mardi Gras Floats. The

one-hour, guided tour gives you an all-access pass, winding through the massive studio where these magnificent floats are built. You’ll learn about the history of this unique and festive tradition and go beyond its reputation to get a deeper understanding of the real Mardi Gras. After the tour, you’ll get to try a slice of the famous Mardi Gras king cake and make your very own Mardi Gras mask to compete at the annual dinner back at the Astor Crowe Plaza.

• Annual Conference Reception and Dinner in the Astor Ballroom

thursday, May 19• Companion’s Program Breakfast –

Club Lounge

• Companions will depart the Astor Crowne Plaza on provided transportation to the Destrehan Plantation. Established in 1787, Destrehan is the oldest documented plantation home in the lower Mississippi Valley. Built by Free Person Of Color Charles Pacquet, she has survived colonial and civil wars, occupation by the union Army, abandonment, decay and restoration, and has now been preserved in all its glory for you to enjoy. Following your guided tour will be a picnic lunch and return trip to the Astor Crowne Plaza.

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daily AgendaMonday, May 16, 2016

7:00 AM Pile Driving Inspection Course Registration

8:00 AM Pile Driving Inspection Course Begins – Iberville

4:00 PM PDCA Executive Committee Meeting – Presidential Suite

6:30 PM PDCA Executive Committee Reception & Dinner Mr. B’s Bistro

tuesday, May 17, 2016

8:00 AM Exhibitor Set-Up – Grand Ballroom

8:00 AM Board of Directors Breakfast and Meeting – Burgundy

9:00 AM Registration Open – Grand Ballroom Foyer

11:30 AM PDCA 3rd Annual Scholarship Fundraiser Luncheon & Bowling Competition

5:00 PM Opening Reception – Grand Ballroom

7:00 PM Board of Directors, Past Presidents, Committee Chairs and Spouses Dinner Red Fish Grill

Wednesday, May 18, 2016

7:00 AM Registration Open – Grand Ballroom Foyer

Exhibit Hall Open – Grand Ballroom

7:30 AM Opening Ceremony Breakfast – St. Charles

10:00 AM Break – Grand Ballroom

10:15 AM General Sessions – Astor Ballroom I/II

11:00 Companion’s Program – Lunch Cruise aboard the Steamboat Natchez

12:00 PM Business & Awards Luncheon – St. Charles Ballroom

2:00 PM Break – Grand Ballroom

Companion’s Program – Mardi Gras World Tour and Mask Making activity

2:30 PM Committee Meetings

6:30 PM Annual Dinner Reception – Astor Gallery

7:30 PM Annual Dinner and Entertainment – Astor Ballroom

thursday, May 19, 2016

7:30 AM Registration Open – Grand Ballroom Foyer

Exhibit Hall Open – Grand Ballroom

8:00 AM General Business Meeting Breakfast – St. Charles Ballroom

8:30 AM Companion’s Program Breakfast – Club Lounge

10:00 AM Break – Grand Ballroom

Companion’s Program – Destrehan Plantation Tour and Lunch

10:30 AM General Sessions – Astor Ballroom I/II

12:15 PM Exhibitor’s Luncheon – Grand Ballroom

2:00 PM Exhibitor Breakdown – Grand Ballroom ABCD t

AdvANCes IN PIle drIvINg teChNOlOgye2

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PILEDRIVER | 7

t Platinum level sponsorships – $3,000Choose one package below. This level includes a full page ad in the atten­dee notebook and your logo on the brochure and notebook cover pages.

● Annual DinnerSponsorship of the annual dinner includes full dinner buffet, all-evening hosted bar with Mardi Gras theme and your company logo highlighted

● Annual Dinner EntertainmentSponsorship of entertainment for the Mardi Gras-themed annual dinner with your logo highlighted

● Project of the Year Awards Program (limit two sponsors)Sponsorship of the PDCA Project of the Year Awards program includes your company information and logo presented in the video loop at the annual conference and a company representative to present the awards

● Business and Awards Luncheon SOLD OUTSponsorship of the luncheon includes the lunch buffet and awards presentation branded with your company logo

● NEW! Conference mobile app SOLD OUTSponsorship of the new mobile app includes your com-pany logo on the splash page of app when downloaded and a rotating banner ad

t gold level sponsorships – $2,000Choose one package below. This level includes a half­page ad in the attendee notebook.

● Companion’s ProgramSponsorship of the companion’s program, including the off-site activities, breakfasts, luncheons, receptions and annual dinner and entertainment

● Guest Room Key Cards SOLD OUTYour company name and logo printed on every hotel guest’s room key – Deadline: March 15, 2016

● Name Badge Lanyard SOLD OUTYour company name and logo printed on the conference name badge lanyards given to all attendees – Deadline: March 15, 2016

● Opening Ceremony BreakfastSponsorship includes opening ceremony plated breakfast and entertainment with your company logo highlighted

● Opening ReceptionSponsorship includes heavy buffet-style hors d’oeuvres, carv-ing stations and hosted bars with your company logo high-lighted

● Exhibitors LuncheonSponsorship includes networking buffet lunch in the exhibit hall with your company logo highlighted

t silver level sponsorships – $1,000Choose one package below.

● Refreshment BreaksSponsorship includes the morning and afternoon refresh-ment breaks in the exhibit hall branded with your com-pany logo

● Third Annual Scholarship Fundraiser – Bowling Tournament

Sponsorship includes bowling tournament, lunch, beverage service and team t-shirts branded with your company logo

● Opening Reception Specialty Cocktails SOLD OUTSponsorship includes New Orleans-themed specialty cocktail bar with specialty glass

● Annual Dinner ReceptionSponsorship of one-hour annual dinner reception with a hosted bar and hors d’oeuvres and your company logo highlighted

● General Business Meeting Breakfast and Keynote SpeakerSponsorship of general business meeting buffet breakfast and keynote speaker

t sponsorship Add-on Opportunity – $250 ● Rotating banner ad on NEW conference mobile app t

Conference sponsorship Opportunities

20th ANNuAl INterNAtIONAl CONFereNCe ANd exPO 2016

PDCA Project of the Year Sponsorship The Project of the Year Awards program, sponsored by American

Piledriving Equipment, is an important part of PDCA. It is a time

to recognize and pay tribute to the projects that PDCA members

construct and complete every day in the pile driving industry, a time

when new ideas can be brought to the forefront and an opportunity

to share best practices with your fellow pile drivers.

Sponsor benefits include a company logo printed on Project of the

Year advertising, participation in the PDCA Project of the Year Award

presentation and company information and logo presented in the

PDCA Project of the Year video loop that is shown continuously

at the annual conference and in the Project of the Year Award

summary in PileDriver magazine.

Sponsorship for the PDCA Project of the Year is $3,000 and is

limited to two companies.

The tradition of featuring PDCA annual conference sponsors in a highly visible, consistent and professional manner throughout the conference will be continued with emphasis in 2016.

All sponsoring companies will receive on-site advertising on signage, recognition during announcements throughout the conference, their logo on annual conference marketing materials, as well as recognition in the PDCA e-Letter, PileDriver magazine, the PDCA website, social media sites and the new PDCA mobile app.

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exhibitors

AdvANCes IN PIle drIvINg teChNOlOgy

The exhibit hall will be located in the Grand Ballroom on the second floor of the Astor Crowne Plaza. Exhibitors at the PDCA 20th Annual International Conference & Expo 2016 will have the opportunity to display information about their company, products, services and materials for the duration of the conference.

Exhibitor’s fee includes an eight-foot by ten-foot pipe and draped booth. Booth back drape is eight feet high and sidewalls are three feet high. Booths also include one six-foot skirted table, two chairs, a wastebasket, a 5-amp 120-volt outlet and a company sign.

The exhibit hall is located near the general session room, pro-viding easy access and a constant flow of traffic between the general sessions and exhibitors. Along with the exhibits, the exhibit hall will be the site of the opening reception, all morning and afternoon refreshment breaks and exhibitor’s luncheon.

Booth selection is made on a first come, first paid-in-full basis, only after the company completes and submits a conference registration form and payment to PDCA. Exhibitors are encour-aged to stay through the entirety of the event which concludes on Thursday, May 19, at 2:00 p.m. after the Exhibitors Luncheon. t

exhibit hall Floorplan

100

MKT Manu-facturing

102

DarkHorse Industies,

LLC

104

Monotube, LLC

106

Tolunay-Wong Engineers,

Inc.

108

Meever USA

501

J.D. Fields & Co., Inc.

503

J.D. Fields & Co., Inc.

505

PVEEquipmentUSA, Inc.

507

Liebherr Nenzing

Crane Co.

509

Aggregate Technologies

101

Consolidat-ed Pipe and

Supply

200

Link-Belt Cranes

103

Cajun Deep Foundations,

LLC

202

Piling Products

107

Richard Goettle,

Inc.

206

American Piledriving Equipment

109

GMS Piling Products

LLC

208

Giken America

Corp.

201

Bermingham Foundation Solutions

300

Pile Driving Solutions

203

Pile Hammer Equipment

302

American Equipment & Fabricat-ing Corp

207

Indepen-dence Tube

Corp.

306Eustis

Engineering Services,

LLC

209

3M

308

Instantel

301

ICE

400

Trinity Products,

Inc.

303

Pile Dynamics,

Inc.

402

Junttan Oy

307

Atlas Tube

406

Essve Tech, Inc.

309

Dr. Edward J. Walter & Associates

408

Jinnings Equipment

LLC

401

LodgeLumber

Company,Inc.

500

Pittsburgh Pipe

403

Ziking Steel Pipe, Inc.

502

Gilbert Products,

Inc.

407

PilePro

506

L.B. Foster Company

409

Eskridge, Inc.

508

ESC Steel, Inc.

ENTRANCE

8'

11'

6'– 4"

exhibitor fees PDCA member (Two registrants): $1,600.00 PDCA member (One registrant): $1,200.00 Non-member (Two registrants): $2,200.00 Non-member (One registrant): $1,800.00 Additional registrant: $725.00

exhibit hall scheduleTuesday, May 17, 20168:00 a.m. – 4:00 p.m. Exhibitor Set-up5:00 p.m. – 7:00 p.m. Opening Reception

Wednesday, May 18, 20167:00 a.m. – 6:30 p.m. Exhibit Hall Open

Thursday, May 19, 20167:30 a.m. – 2:00 p.m. Exhibit Hall Open2:00 p.m. – 4:00 p.m. Exhibitor Break-down

LESTER

Triad Piling Products

R.W. Conklin Steel

Hammer & Steel,

Inc.

Specialty Piling

Systems, Inc.

BAUER- Pileco, Inc.

SkylineSteel

CoxIndustries

TABLE TABLE TABLE TABLE TABLETABLE TABLE TABLE TABLE TABLE

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AtteNdee regIstrAtION

Type: (please check one) Contractor Supplier Manufacturer Engineer Service Provider Other

Company:

Address: Suite:

City: State: Zip:

Province: Country: Postal Code:

Phone: Website:

Main Contact: Email:

Name: Email:

Name: Email:

Name: Email:

Registration Type # of Registrations Amount Total

PDCA or Co-operating Sponsor Member × $850 $ ________________

Member – Pile Driving Inspection Course × $145 $ ________________

Non-Member × $950 $ ________________

Non-Member – Pile Driving Inspection Course × $185 $ ________________

On-Site × $950 $ ________________

Federal, State, City or County Employee × $500 $ ________________

Student × $350 $ ________________

Attendee RegistrationTotal $ ________________

Silent Auction Item – please indicate if you or your company would like to contribute a silent auction item(s)

Item(s): ________________________________________________

________________________________________________

Complete & Return to: PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065, fax to 904-215-2977 or email to Holly@piledrivers.org. Please print clearly or type. Photocopy this form or download additional forms from www.piledrivers.org.

**Please print your information EXACTLY how you would like it to appear on name tags, attendee packet, etc.**

For travel and hotel information contact:Lorraine EngelmanBlue Ribbon Travel / American Express11 – 16 154th St.Whitestone, NY 11357Tel: 718-767-5455 Fax: 718-767-5601lorraine@travelblueribbon.comwww.travelblueribbon.com

Will you require a Certificate of Completion for Professional Development Hours? Yes No

Please see next page for Exhibitor Registration and the 3rd Annual PDCA Scholarship Fundraiser – Bowling Tournament sign-up.

Sponsorships, payment information and additional options on last page.

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Type: (please check one) Contractor Supplier Manufacturer Engineer Service Provider Other

Company:

Address: Suite:

City: State: Zip:

Province: Country: Postal Code:

Phone: Website:

Main Contact: Email:

Name: Email:

Name: Email:

Name: Email:

Registration Type Amount Total

PDCA Member Dual Exhibitor Registration – Includes 2 Registrations SOLD OUT $ ________________

PDCA Member Single Exhibitor Registration – Includes 1 Registration SOLD OUT $ ________________

Non-Member Dual Exhibitor Registration – Includes 2 Registrations SOLD OUT $ ________________

Non-Member Single Exhibitor Registration – Includes 1 Registration SOLD OUT $ ________________

Additional Exhibitor Registration SOLD OUT $ ________________

Exhibitor RegistrationTotal $ ________________

Silent Auction Item – please indicate if you or your company would like to contribute a silent auction item(s)

Item(s): ________________________________________________

________________________________________________

Complete & Return to: PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065, fax to 904-215-2977 or email to Holly@piledrivers.org. Please print clearly or type. Photocopy this form or download additional forms from www.piledrivers.org.

**Please print your information EXACTLY how you would like it to appear on name tags, attendee packet, etc.**

The 3rd Annual PDCA Scholarship Fundraiser– Bowling TournamentBowler 1: _________________________________ T-shirt size: ___ Bowler 2: ________________________________ T-shirt size: ____

Bowler 3: _________________________________ T-shirt size: ___ Bowler 4: ________________________________ T-shirt size: ____

Bowler 5: _________________________________ T-shirt size: ___ Bowler 6: ________________________________ T-shirt size: ____

# of Bowlers ________________ × $75 Total: $ ________________

Additional Fund Contribution $ ________________

Fundraiser and luncheon total $ ________________

exhIBItOr regIstrAtION

11

sPONsOrshIPs, Other OPtIONs & PAyMeNt INFOrMAtION

Sponsorship Number Available Amount Total

Platinum Level – Annual Dinner Unlimited $3,000 $ ________________

Platinum Level – Annual Dinner Entertainment Unlimited $3,000 $ ________________

Platinum Level – Project of the Year Awards Program 1 $3,000 $ ________________

Platinum Level – Business and Awards Luncheon SOLD OUT $ ________________

Platinum Level – Conference mobile app SOLD OUT

Gold Level – Companion’s Program Unlimited $2,000 $ ________________

Gold Level – Guest Room Key Cards SOLD OUT

Gold Level – Name Badge Lanyard SOLD OUT

Gold Level – Opening Ceremony Breakfast Unlimited $2,000 $ ________________

Gold Level – Opening Reception Unlimited $2,000 $ ________________

Gold Level – Exhibitors Luncheon Unlimited $2,000 $ ________________

Silver Level – Refreshment Breaks Unlimited $1,000 $ ________________

Silver Level – Bowling Tournament Unlimited $1,000 $ ________________

Silver Level – Opening Reception Specialty Cocktails SOLD OUT $ ________________

Silver Level – Annual Dinner Reception Unlimited $1,000 $ ________________

Silver Level – General Business Meeting Breakfast and Keynote Speaker Unlimited $1,000 $ ________________

Mobile App Banner Sponsorship Add-on 8 $250 $ ________________

Sponsorship Total $ ________________

Other Options # of Registrations Amount Total

Companion’s Program × $325.00 $ ________________

Companion’s Name and Email address:

Children (Under the age of 21) × $100.00 $ ________________

Name:

Options Total $ ________________

CONFERENCE GRAND TOTAL $ ________________

Return the completed Registration Form and Payment to:PDCA, 33 Knight Boxx Road, Suite 1, Orange Park, FL 32065Registrations with credit card information may be faxed to PDCA at 904-215-2977 or scanned and emailed to holly@piledrivers.org

Payment Information (All information must be completed to process your registration form):

Check One: Check Visa MC AMEX Discover Exp. Date: ________/________

Name On Card: _______________________________________________________________________________________CVV (3 or 4 Digit Code): _____________

Credit Card Number: ________________________________________________________________________________________________________________________

Statement Billing Address: ___________________________________________________________________________________________________________________

City: ______________________________________________________State: _____________________________________Zip Code: ____________________________

Province: __________________________________________________Country: __________________________________Postal Code: _________________________

Signature: ______________________________________________________________________________________________________________________________

reFuNd POlICy: 50% reFuNd uP tO APrIl 11 – NO reFuNds AFter APrIl 11, 2016

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