Automation Fair 2021 - Travel Package Reservation

Travel with Agilix Solutions to Houston for Automation Fair!
Complete this form to reserve your Agilix Solutions Automation Fair Hotel Package and optional transportation.

First Name*	Last Name*


Email Address*

Company*

Job Title*

Work Phone*	Cell Phone*

Street*


City*	State*


Postal Code*	Country*

Agilix Solutions Account Manager

Please Select from the Travel Options Below

Select your travel package*

*Please note: PSUG registration and tuition are not included in our package pricing. It is your responsibility to register and pay on Rockwell Automation’s event site.

How are you traveling TO and FROM Houston?*

Confirmation of Included Items

Each travel package includes an Agilix Solutions jacket/pullover. Please indicate your style and size below.

Jacket Style:*

Ladies'

Men's

Jacket Size:*

Small

Medium

Large

2XL

3XL

Each travel package includes our private dinner event on Wednesday. Please confirm your attendance below.

Will you attend our private networking dinner at the Rustic on Wednesday?*

Yes

Do you have any dietary restrictions or food allergies?*

Gluten-free

Vegan

Vegetarian

Allergies (please note below)

No allergies or restrictions

Please list applicable food allergies:

Payment Information

Please indicate your payment method:*

Purchase Order

Company Check

Credit Card

We will contact you to confirm the total cost of your travel, your registration and payment specifics.

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Phone Number*

Reservations close on October 21, 2021.

Travel packages are limited, and reservations are being accepted on a first-come, first-served basis. PLEASE NOTE – your travel package reservation is pending until you receive a written confirmation from Agilix Solutions. Advertised pricing is valid through October 21, 2021.

Payments will be processed as orders are placed. Any fees incurred by Agilix Solutions due to customer cancellation will be charged in full to the customer. Any deviation from the standard package may result in increased charges. Registrants agree to all cancellation and refund policies and guidelines.