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| ON-LINE REGISTRATION |
| * Please use <TAB> to move between fields |
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| Your Name: |
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(As it will appear on your conference name badge) |
| Your Title: |
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| Company Name: |
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| Mailing Address: |
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| City, State, Zip: |
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| Telephone Number: |
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| Fax Number: |
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| Email Address: |
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| Attending Tour: |
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Note: Competitors and exhibitors not invited
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$850 Registration Fee:
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Check payable to Finepoint Marketing, Inc.
Credit card (Visa, Master Card, American Express) |
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| Credit Card Number: |
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| Expiration Date: |
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I have
read and agree to the terms below |
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| Please submit a separate registration for each participant no later
than August 31, 2010. No registration fee refunds after August 31.
This fee includes a bound set of conference papers, reception, all
breakfasts and lunches, transportation to the manufacturing facility, refreshment
breaks, and The Expo each evening with supplier exhibits, food, and drinks. |
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Please make your hotel room reservation
directly with the Omni, the conference host for all events, by calling 1-800-843-6664 and
requesting the Circuit Breaker Conference special group rate of $184 per night. Alternatively, you
may book on-line by visiting
Omni Group Rate.
Transportation from Pittsburgh International Airport to the Omni William
Penn is available for $19 one-way, $36 round trip, from "Super Shuttle" that can be booked on-line
(www.supershuttle.com) or
by phone (800-258-3826).
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