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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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* 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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Registration - $595
Please make your hotel reservation as soon as possible, to guarantee room availablity. Go to our direct reservation website at http://www.granddenver.hyatt.com/groupbooking/denrdiscs2006 |
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Each Additional Registrant from Same company - $50 discount
First registrant must have previously registered to receive discount. |
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Student and Faculty Registration $245 (additional registrant discount does not apply) |
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Table Top Exhibit Space (includes one Registrant) $795 |
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Additional Registrant with Exhibit Space $495 |
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If ordering Table Top Exhibit
please indicate your website
address for us to link to.
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SHORT COURSES
(fee does not include Symposium registration) |
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September 9 & 10, 2006
Science & Technology of Coating & Drying Processes - $995
Please make your hotel reservation as soon as possible, to guarantee room availablity. Go to our direct reservation website at http://www.granddenver.hyatt.com/groupbooking/denrdiscs2006 |
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September 10, 2006
The Role of Modeling & Visualization in the Coating Process - $795
Please make your hotel reservation as soon as possible, to guarantee room availablity. Go to our direct reservation website at http://www.granddenver.hyatt.com/groupbooking/denrdiscs2006 |
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I will not be attending the opening reception on Sunday, Sept. 10, 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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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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For questions or further information call Mr. Terry Gorka,
at 805/659-2298 or e-mail [email protected].
Cancellation Policy - There is no charge for cancellations or substitutions received in writing prior to August 10, 2006. 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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