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An * means required information.
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*Today's Date:
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Dr. Mr. Ms. Mrs. |
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*First Name:
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*Last Name:
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*Position/Title:
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*Company/Institution Name:
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*Address:
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*City:
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* State/Province:
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* Zip/Postal Code:
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*Country:
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*Phone Number:
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Fax Number:
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*E-mail :
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How did you hear about this Symposium?
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Student Registration $195
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Faculty Registration - $495
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Industrial/Commercial on or before 8/13/2010 - $645
Industrial/Commercial after 8/13/2010 - $695
Each Additional Registrant from Same company - less $50
First registrant must have previously registered to receive discount.
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One-day registration $395
Monday, Sept. 13, 2010
Tuesday, Sept. 14, 2010
Wednesday, Sept. 15, 2010
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Table Top Exhibit Space (includes one Registrant) $995
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Short Course: Precision Coating and Solidification - $695
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Meals for non-registrants (spouses, etc.), including breakfast, lunch, Welcome Reception, Monday Reception and Tuesday Reception to be charged at a cost price to be determined before the event. |
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I will not be attending the opening reception on Sunday, Sept. 12, 6:30-8:30
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I would like vegetarian lunches.
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Please do not include me on the registrant list for this symposium for distribution to participants.
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*TOTAL AMOUNT DUE :
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Purchase Order #:
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Check Enclosed MasterCard Visa AMX
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Credit Card Number:
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Expiration Date:
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Cardholders Name:
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Cancellation Policy - There is no charge for cancellations or substitutions received in writing prior to August 12, 2010. After that date, no refunds will be given, but Symposium Proceedings will be provided. If you cannot attend, you are welcome to send a replacement at no additional charge.
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