Insulated Conductors Committee

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ICC Spring 1998 - Registration


 

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:

Mike Walker HIP-24

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)

Return to the Spring 1998 Page

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