The ICC Website is changing. As this transition is made, our new format can be found at www.pesicc.org/ICCWP. Please send any comments or questions to mvh@voncorp.com.
Last Name: ________________________________________ First Name: ________________________________ Initial: ______
First name for badge: ______________________ Guest name badge: First: _____________________ Last: ____________________
Address: ____________________________________________________________________________________________
____________________________________________________________________________________________
City: ______________________________ State: ______________ Postal Code: ________________ Country: ____________________
Phone No. ______________________ Fax No: ________________________ E-Mail ID: ___________________________________
Company: _____________________________________________________________________________________________
IEEE Member [ ] Yes [ ] No Member No: ___________________
PES Member [ ] Yes [ ] No Section Name: ______________________________
ICC Member Classification [ ] Guest [ ] Member [ ] Voting Member Note: Procedures for requesting a change in classification are printed in the Minutes
Other International Organizations, such as IEC, CIGRE (please specify): __________________________________________
Number @ Each | Total US $ | |||
Advance Registration: | IEEE Member | ARM | ___ @ 60.00 | |
Non-member | ARN | ___ @ 70.00 | ||
On-site Registration: | IEEE Member | ORM | ___ @ 70.00 | |
Non-member | ORN | ___ @ 80.00 | ||
Complimentary Registration | (retired IEEE member) | CR | ___ @ n/c | |
ICC Minutes, Fall 1997 - St. Pete (if available) | FM | ___ @ 30.00 | ||
ICC Minutes, Spring 1998 | SM | ___ @ 30.00 | ||
Apr 5 - Orientation Program | ONP | ___ @ n/c | ||
Apr 5 - Reception | REC | ___ @ n/c | ||
Apr 7 - Transnational Lunch | TL | ___ @ 25.00 | ||
Apr 5 - Niagara on the Lake Tour | NLT | ___ @ 35.00 | ||
Apr 6 - Toronto City Tour | TCT | ___ @ 35.00 | ||
Apr 7 - McMichael Gallery Tour | MGT | ___ @ 35.00 | ||
Apr 7 - Educational Program (didactic) | EDU | ___ @ n/c | ||
50th Anniversary Video of Slide Show | FAV | ___ @ 20.00 | ||
Total Amount Due | U.S. $ |
Please make checks payable in $US funds to "ICC"
Print this form and mail to: Houston Lighting & Power PO Box 1700 Houston, TX 77251-1700 |
PAYMENT MUST BE RECEIVED BY MARCH 27, 1998 IF NOT RECEIVED PAYMENT MUST BE MADE ON SITE (AT ON-SITE RATES (See Meeting Notice Letter for Overseas Attendees) |
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