Spring 1999 - Registration

Insulated Conductors Committee

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Spring 1999 - Registration

Print, complete and mail this form

IEEE/PES INSULATED CONDUCTORS COMMITTEE

Name:

Last: ________________________________________________
First: _____________________________________
Initial: ______

Badge:

First name for badge: _____________________
Guest name badge:
- First: ____________________
- Last: __________________________

Address:

Company: ______________________________________________________________
Street: _______________________________________________________________
______________________________________________________________________
City: _______________________________
State/Province: ______________
Postal Code: __________________
Country: ________________________

Misc:

Phone No. _________________________
Fax No: ___________________________
E-Mail: _______________________________________

IEEE Member [ ] Yes [ ] No Member No: ___________________
PES Member [ ] Yes [ ] No Section Name: ______________________________
ICC Member Classification [ ] Guest [ ] Member [ ] Voting Member [ ] Corresponding Member

Note: Procedures for requesting a change in classification are printed in the Minutes and on the Web page.

Membership in Other International Organizations:

IEC, CIGRE, etc. (please specify): __________________________________________

Item	Number	Cost	Total
Advance Registration: IEEE Member	ARM____	@ $60.00	__________
Advance Registration: Non-IEEE Member	ARN____	@ $70.00	__________
On-site Registration: IEEE Member	ORM____	@ $70.00	__________
On-site Registration: Non-member	ORN____	@ $80.00	__________
Complimentary Registration (retired IEEE members & students)	CR ____	@ n/c	__________
Spouse/guest Registration	GR ____	@ n/c	__________
ICC Minutes, Fall 1998 - St. Pete (IF available)	FM ____	@ $30.00	__________
ICC Minutes, Spring 1999 - Charlotte	SM ____	@ $30.00	__________
May 23 - Orientation Program	ONP____	@ n/c	__________
May 23 - Reception	REC____	@ n/c	__________
May 25 - Transnational Luncheon	TL ____	@ $25.00	__________
May 24 - Historic South End Tour	WHD____	@ $25.00	__________
May 25 - Mint Museum of Art and Crafts Tour	MMA____	@ $25.00	__________
May 26 - Education Program Luncheon	EDL____	@ 15.00	__________
May 26 - Education Program	EDP____	@ n/c	__________
Total Amount Due		U.S. $	__________

Please make checks payable in $US funds to "ICC"

Mail to: Mike Walker HIP-24
Houston Lighting & Power
PO Box 1700
Houston, TX 77251-1700
USA

PAYMENT MUST BE RECEIVED BY May 14, 1999

IF NOT RECEIVED BY THIS DATE, PAYMENT MUST BE MADE ON SITE AT ON-SITE RATES. LATE PAYMENTS WILL BE RETURNED!

Attendees from outside the USA who have registered by the above date may pay on site at advance registration rates - cash or checks only in US $.

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