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 Register for the Fall 2010 Conference
Name

EUCG Member Registration

  
Title   EUCG Member Registration $875
Company Name EUCG Member Late Fee(after 8-27-10) $975
Address
Non EUCG Member Fee
$1275
Address 2 CC/CT Forum Only $200
City Nuclear or Hydro Pre-Paid Conference Fee $0
State (Province\Region) Guest Registration $225
Zip Code (Postal Code)
Phone  
Fax  
E Mail
Passport #(if traveling from a country other than USA)
Date of Birth(if traveling from a country other than USA)

Registrant Profile 		 



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Additional Comments 		 
 

Hotel Reservation Information!!!
Request a room in the EUCG block – Renaissance Glendale Hotel - your rate is $179

Deadline for Hotel rate is August 27, 2010. WE CANNOT GUARANTEE A ROOM FOR YOU AT THIS RATE AFTER THIS DATE
Reserve now - 1.800.468-3571 or use this link.
 
Government rate qualifiers - make your reservation then contact Pat at 623.572.414

Cancellation Policy:
14 days or more prior to conference – refund less $125 admin fee:
7-14 days prior to conference - ½ conference fee refund or apply all to next conference:
less than 7 days – no refund, but apply to next conference.
 
 

Number of guests:
Guest Information:  
No guests registered  

Method of payment

Note: To pay with credit cards, please download and complete the PDF version of this form and fax it to 623.572.4141.






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