| 67th Plenary Meeting Registration |
| * Title |
|
| * First Name |
|
| * Last Name |
|
| Position |
|
| Department |
|
| * Organization |
|
| * Address1 |
|
| Address2 |
|
| Address3 |
|
| * City |
|
| State |
|
| Zip |
|
| * Country |
|
| * Email |
|
| * Phone |
|
| Fax |
|
|
|
| * Language |
|
| Government of |
|
Spouse/Guest Name
|
(See note below)
|
| Memo |
|
|
|
Payment Information |
|
| Status |
|
| * Name on Card |
|
| * Card Type |
|
| * Card Number |
no spaces or dashes please |
| * Expiration Date |
/ |
|
|
|
A guest is a family member, not a co-worker or industry peer. Spouse or
guest are not eligible to attend plenary sessions and will not receive
plenary meeting documents. However, they may participate in all social
activities, including coffee and tea breaks, conference lunches each
day, and all dinners and receptions. |
