NOIA/OOC Offshore CCUS Symposium Registration Step 1 of 2 50% Name* Badge Name* Company* Title* Emergency Contact* Emergency Contact Phone Number*Do you have any ADA requirements or dietary needs that we should be aware of?Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Fax Email for Receipt* REGISTRATION FEESNOIA and/or OOC Member: $150 after May 2nd, $200 after June 6th REGISTRATION FEETotal $0.00 Promo Code Refund policy Cancellations received by May 27th will receive full refund. Cancellations are non-refundable after May 27th. Please note credit card cancellations are subject to a $25 processing fee. Credit Card* American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Billing Address* Street Address City State / Province / Region ZIP / Postal Code COVID WaiverCOVID Waiver I acknowledge that travel and gathering involves risk of illness, including illness from COVID-19. I (and on behalf of my guest(s)) waive and release the National Ocean Industries Association, (NOIA) and its sponsors, and their employees and agents, from and against claims, liabilities and expenses arising from injury, sickness or death from contraction or spread of COVID-19 or other communicable disease due to travel to or attendance at the NOIA Annual Meeting. I have voluntarily registered to participate in the NOIA Annual Meeting. I understand and acknowledge that my participation at the NOIA Annual Meeting may expose me to one or more persons who are infected with or been exposed to COVID-19. I further understand that NOIA will implement measures to minimize the spread of COVID-19 at the Event, and I agree to comply with all of NOIA’s rules, guidelines, and instructions accordingly. Notwithstanding NOIA’s preventative measures and my compliance, I acknowledge that NOIA cannot guarantee that I will not contract COVID-19. If you have any symptoms of COVID-19 or have been exposed to someone with COVID-19 within 14 days on the meeting, we require that you do not attend this event. This waiver and release is binding on me and my heirs and successors. I agreePlease Press Submit ONLY ONCE