Memsa Annual Meeting

Formerly THE OPMA Annual Meeting Registration Form September 2008

P.O. Box 7163, Lakeland, Florida 33807-7163

MEMSA ANNUAL MEETING September 3,4,5, 2008

___YES, I want to register for the MEMSA Annual Meeting in September

Name ______Title ______(How your name is to appear on name tag)

Spouse or Guest Name ______

Company Name ______Type of Mining or Supplier ______

Mailing Address: ______

City ______State/Prov ______Zip/Code ______

Country ______Email Address ______Phone______

Note: Pre register or Register Online at www.acteva.com/go/memsa This Form not Necessary if you register Online

Symposium Registration Fee: $195 _____ Fee includes MEMSA annual membership, all sessions and materials on Thursday and Friday, lunch and dinner on Thursday, Cont. breakfast Friday morning, coffee breaks, and hospitality rooms.

Spouse or Guest Registration Fee: $ 50 ____ Thursday breakfast & Banquet Dinner Thursday Night

Fees Enclosed ___ Pay at the Meeting _____ (Fees paid are refundable if canceled by September 1) Check, Money Order, Charge to your room, or Cash please. Sorry, No Invoices Sent to Companies this year.

Golf Outing Wednesday morning, Sept 5th: Yes ____ No _____ FAX: (863) 644-5531 If enough interest, will start approximately 7:30am Email: [email protected] Web Site: www.miningelectrical.org FAX or mail a copy of this form and payment to: Snail Mail: P.O. Box 7163 Mining Electrical Maintenance & Safety Association Lakeland, FL 33807 P.O. Box 7163, Lakeland, Florida 33807-7163

If confirmation of registration has not been received within ten days, please email or call

______Sorry, I can’t come to the meeting, however, I want to remain on the mail list and support MEMSA. “Networking and Expanding Knowledge in the New Millennium”

Hotel Registration Two Ways:

 Call the Hotel directly, Ask for Reservations, then for the Mining Electrical Maintenance & Safety Association Rate of $142 per night. Hotel will extend these rates for before and after for those coming early or staying longer. Register by August 5th to get the room for the MEMSA rate. After 5th, rooms as available for the same rate.  Hotel Web Site, www.sheratonsandkey.com, and Register at their secure web site