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ASNE
High Speed/High Performance Ship & Craft Symposium
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July 19-20, 2005
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Everett, Washington
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MAIL TO: ASNE • Attn: HSHPS&C
• 1452 Duke Street, Alexandria, VA 22314-3458 or FAX TO: (703)
836-7491
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Please
Print Clearly or Type All Information
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| Full Name: | Name for Badge |
| Position: | |
| Organization: | |
| Address: | E-Mail: |
| City, State ZIP: | Phone: |
| Special Needs: | Fax: |
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Registration
includes:
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| Technical Program (both days) | Proceedings on CD-ROM | ||||
| Lunch (Tuesday) | Exhibit Hall Lunch (Wednesday) | ||||
| Exhibits | |||||
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Full
Registration
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One-Day
Speaker Registration
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| Member |
@$295: (___)
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I will present on: [__] Tue [__] Wed [__] FREE | |||
| Non-Member |
@$405: (___)
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and will attend the other day |
@$175: (___)
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| Registration & Membership |
@$390: (___)
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| Extra Proceedings |
@ $ 25: (___)
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Extra Proceedings |
@ $ 25: (___)
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| Late Fee (After July 5) |
@ $ 50: (___)
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Late Fee (After July 5) |
@ $ 50: (___)
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| Total Amount Enclosed |
$ __________
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Total Amount Enclosed |
$ __________
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Advance Payment is Required -
Please check method of payment:
[ ] I have enclosed my check
or money order
[ ] Approved Purchase Order
is attached
[ ] MasterCard [ ] VISA
[ ] American Express [ ] Discover
Credit Card Number:
_________________________________
Signature:
Exp Date: / |
CANCELLATIONS, TRANSFERS,
AND REFUNDS
Cancellations must be in writing and cannot be accepted after July 5, 2005 A $50 administrative fee will be subtracted from all refunds through July 5, 2005, and a $25 fee will be applied to all transfers. |
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Point of Contact for Registration is Nikki Johnson (703) 836-6727 |
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