IEEE/PES Insulated Conductors Committee s1

IEEE/PES***Presenters*** Insulated Conductors Committee Load your PowerPoint Presentations in Advance. FALLSee Registration 2007 Desk Meeting Registration Form ***(USE TAB KEY)*** Last Name: First Name: Middle Initial: First Name for Badge: Guest Name Badge First: Last: Company: Address:

City: State/Province: Postal Code: Country: Phone No: Fax No: Email: IEEE Member: Yes: No: Member No.* IEEE-SA Member: Yes: No: PES Member: Yes: No: Section Name: ICC Member Classification:** Guest: Member: Voting Member: Corresponding Member:

Membership in IEC or other Organization (please specify): ICEA & CSA * If you do not provide your IEEE member number, you will pay the non-member rate. ** Procedures for requesting a change in classification are on the ICC website. ======Code Number Each Line Total US $ - MEETING REGISTRATION - Advance Registration & Minutes: IEEE Member ARM @ $165.00 US Advance Registration & Minutes: Non-IEEE Member ARN @ $175.00 US On-Site Registration & Minutes: IEEE Member ORM @ $185.00 US On-Site Registration & Minutes: Non-IEEE Member ORN @ $195.00 US Complimentary Registration1 CR No charge Guest/Companion Registration2 GR @ $20.00 Spring 07 Minutes3 SM @ $50.00 Fall 07 Minutes3 FM @ $50.00 Table Top Display TT @$350.00

1 Note: Complimentary registration for students, press, and retired (not working). Minutes are not included. 2 Note: Please register the number of spouses/guests/companions so we can properly plan. 3Note: The ICC Minutes are now included in the registration fee. Use this block to order extra minutes or if you are a corresponding member. Fall Minutes will be mailed out after the meeting. Previous minutes can be obtained from JMed & Associates, Ltd., E-mail: [email protected] , Phone: (847) 934-1154.

- EVENT REGISTRATION - November 4 Orientation Program ONP No charge November 4 Reception REC No charge November 6 Transnational Lunch TL @ $35.00 US November 7 Educational Program Lunch EDL @ $35.00 US November 7 Educational Program EDP No charge November 7 PDH Certificate CER No charge

Total Amount Enclosed: $US Funds Only:

Mail completed form and check Please make checks payable to ICC - Sorry, we cannot accept credit cards. (payable to ICC): Thomas Arnold This form and/or payment must be RECEIVED by OCTOBER 24. Southwire If not received by this date, payment must be made on site at on-site rates. 1358 Hay’s Mill Road Carrolton GA 30117 Attendees who have registered by e-mail, mail or fax by the above date Fax: 770-834-0037 may pay on-site at advance registration rates. e-mail: [email protected] Cash, checks, or travelers checks only in US$.