“Best Practice Safety Behaviors in the Workplace”  Utah Manufacturers Association and Utah Mining Association Sixth Annual Safety Conference

April 12, 2017 Little America Hotel 500 South Main Street  Salt Lake City, Utah   Attendee: $125 Exhibitor: $400 Event Sponsor: $1000 7:30 a.m. Registration and Continental Breakfast with Vendors  8:30 a.m. Welcome Keynote Speaker – Richard Massey, SnugZ - "Changing a Company’s Cultural Mindset on Safety”  9:45 a.m. Safety Breakouts - industry specific topics relating to MSHA and OSHA

Conference Sponsors

10:45 a.m. Refreshments with Vendors   11:15 a.m. Safety Breakouts - industry specific topics relating to MSHA and OSHA 12:30 p.m. Lunch Safety Award Presentations Luncheon Speaker – Mercedes Ramirez Johnson “Transformational Safety In the Workplace"

Exhibitor’s Registration  Vendor exhibits will be located along the sides inside the Ballroom. This is an excellent opportunity to showcase your Company’s products and services to conference attendees.  Set-up between 6:00 and 7:00 a.m. Tear Down between 2:00 and 3:30 p.m.  Exhibit space is for a 6 ft table top display. The cost is $400, price includes one conference registration. Tables and skirting will be furnished.  If you do not need a table, please let us know.  If you would like one additional person at the booth, the discounted  cost is $80.00 (limit 1 discount registration per exhibit).  Exhibitor registration is in advance only. There are only 25 booth spaces available and are on a first come first served basis. If you have questions, please contact Teresa Thomas, Utah Manufacturers Association, 801-363-3885.  Company Name:  ____________________________________________________________ Contact Person:   ____________________________________________________________  Names of persons attending booth: ___________________________________________        ____________________________________________ Address:  ___________________________________________________________________ City:  __________________________________________________ State: ____ Zip: ________ Phone:  ______________________  E-Mail Address:  ___________________________________ I need electricity (please circle one)   YES   NO I need a 6 ft. table (please circle one)   YES     NO Will you be doing a prize drawing at your booth for attendees?  (please circle one)   YES   NO Drawing will be held during lunch 

Exhibitor Fee: $ ________________________ Additional Attendee(s) Fee: $____________________ Total Due: $________________________________                  Payment options are below:     Send form and check to:     Utah Manufacturers Association     428 E Winchester, Suite 135     Murray, UT 84107      Email: [email protected]                      

OR     Credit Card (please circle one)      Visa     Mastercard     AMEX     Discover     Card Number _________________________________________     Expiration Date ________________________     CVV Code(3 digits on back of card)  _______                     

Event Sponsorship Promote your company! Be a sponsor of the 6th Annual Manufacturing and Mining Safety Conference. There are only six safety conference sponsorships available. Cost is $1,000  Sponsorship includes: * Banner with your logo hung in general session * Sponsorship ribbon on name badge at conference * Logo featured in Safety Conference program * Recognition at podium of sponsorship * Registration waived for two persons Company Name:  ________________________________________________________________________________ Contact Person:   ________________________________________________________________________________  Address:  _________________________________________________________________________________________  City:  __________________________________________________ State: ____ Zip: ________ Phone:  ______________________   E-Mail Address:  ___________________________________________________ 

Payment options are below:     Send form and check to:     Utah Manufacturers Association     428 E Winchester, Suite 135     Murray, UT 84107      Email: [email protected]                      

OR     Credit Card (please circle one)      Visa     Mastercard     AMEX     Discover     Card Number _________________________________________     Expiration Date ________________________     CVV Code(3 digits on back of card)  _______                     

“YOU ARE NOT INVINCIBLE SAFETY BEST PRACTICES IN THE WORKPLACE” Utah Manufacturers Association members are invited to create a short video (2 minutes or less) demonstrating safety in the workplace.  The theme is “You Are Not Invincible - Safety Best Practices in the Workplace” You will be judged on the best safety message and creativity.  

Winners will be announced at the Safety Conference on April 12th at Little America Hotel in Salt Lake at 12 noon! 1st Prize will be a Pizza Party 2nd Prize will be Donuts 3rd Prize will be Ice Cream We can’t wait to see your videos and spread safety throughout the State!

SEND YOUR VIDEO TO [email protected] BY APRIL 4TH