ELECTRI Council Meeting - January 2024Name(Required) First Last First name (or nickname) to appear on badge:(Required)Name of Company and/or NECA Chapter you are representing:(Required)Title or PositionAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required)Please list the names of any additional personal guests you will be bringing. Do not include yourself.Work associates should register separately so they receive the meeting materials to their own emails.Please list any dietary restrictions for you or your personal guest(s).Will you be joining us for a tour of Miller Electric Company on the afternoon of Tuesday, January 16th?(Required) Yes NoMiller Electric Company is thrilled to invite you to an exclusive office tour on January 16th, where you'll have the opportunity to explore their state-of-the-art facilities and learn more about their innovative services and partnerships. This event promises to be an informative and engaging experience.If you are attending the Miller Tour on Tuesday, January 16th, will you require transportation to the facility in Jacksonville from the hotels?(Required) Yes No I will only need a ride back to the hotelWe will have buses leaving the Ritz-Carlton at noon on Tuesday. The buses will head back to the resort no later than 4PM. One bus will make a pickup at the Omni if you are staying there. There is parking available at Miller Electric Company if you prefer to drive.How many will be on the tour?Name(s) of Miller Tour guest(s):Are you interested in receiving information for a golf event for the afternoon of Wednesday, January 17th? We will contact you with more details and a link to register soon. Yes NoGolf is at the Ritz-Carlton, Amelia Island. Spots will be filled on a first come basis. Pricing will be provided in the information to be sent out soon.Are you interested in receiving information on an alternate activity on the afternoon of Wednesday, January 17th? Yes NoWe will be offering an alternate activity on Wednesday afternoon. Once confirmed we will send you information on the event.At ELECTRI, we are always working to improve our resource offerings for our members. To help us understand what is most important to you, please complete the following 3 questions. What one area of your business would you like to improve in the coming years?What aspect/s of your business have contributed the most to your financial success?What is one thing you would change about your business and one thing you would not change about your business?CAPTCHAΔ
