|
2001 International Ash Utilization Symposium
Registration
Fax/Print Form
(If you use this form, please be sure to print and return ALL
PAGES)
OCTOBER 22-24, 2001
Hyatt Regency Lexington
Title (Ms., Mr., Dr., etc.)_____
First Name___________ Middle Initial________ Last Name__________________________
Company/Organization_______________________________________________________________
Address____________________________________________________________________________
City______________________________________State/Province___________________________
Postal Zone/Zip Code__________________ Country_____________________________________
Telephone_______________________________ Fax________________________________
E-mail (PRINTor TYPE clearly):_____________________________________
(Note: e-mail address is vital, for electronic information dissemination.)
Name as you would like it to appear on your badge ________________________________
If you are attending only one day, please specify the day_________________________
Please indicate if you will be attending the following functions:
Reception (Mon. evening, 10/22) yes_______ no________
Old Kentucky Night (Tues. evening, 10/23) yes_____ no_______
Basic fee for 2 or 3 day attendance (includes all sessions, 3 continental breakfasts
in meeting area, 1 reception, 1 Old Ky Night, 1 printed abstract booklet,
1 Proceedings Volume in CD format w/case, 1 set of handouts, 1 badge,
1 souvenir golf bag)
$290.00/person (on or before September 4, 2001) for 2 or 3 day attendance US$______________
$375.00/person (after September 4, 2001) for 2 or 3 day attendance US$______________
Basic fee for 1 day attendance (includes continental breakfast in meeting area,
all functions of that day, 1 printed abstract booklet, 1 Proceedings Volume in
CD format w/case, 1 set of handouts, 1 badge, 1 souvenir golf bag)
$145.00/person (on or before September 4, 2001) for 1 day attendance US$______________
$187.00/person (after September 4, 2001) for 1 day attendance US$______________
If you would prefer your Proceedings Volume in book format INSTEAD of CD format:
$27.00 to help defray the printing cost US$______________
Shipping charges of
$10.00 for UPS ground within the United States US$______________
$60.00 for UPS International Express outside the United States US$______________
Additional Proceedings Volumes in CD format w/case (includes agenda,
organizers, sponsors, exhibitors, Technical Program Committee members,
participants, papers in order by agenda, search by author/keyword/text)
$50.00 (includes shipping & handling)
________ volumes @ $50.00/volume = US$______________
Additional Proceedings Volumes in book format (incl. agenda, organizers,
sponsors, exhibitors, Technical Program Committee members, participants,
papers in order by agenda, author index)
$145.00 (includes shipping & handling)
________ volumes @ $145.00/volume = US$______________
Additional souvenir golf bag
_________golf bag @ $15.00/golf bag = US$______________
Spouse/guest events
Continental Breakfast in meeting area ($13.00/day)
Monday____ Tuesday____ Wednesday____
Reception Monday evening ($45.00)______
Old Ky Night Tuesday evening ($40.00)______
Name for spouse/guest badge______________________________
Total cost for spouse/guest events US$______________
GRAND TOTAL US$______________
Payment MUST be indicated below. Payment is due at time of submission
of this form.
Payment must be in U. S. Dollars and made by check, bank draft, money order,
Mastercard, or Visa. We annot accept any credit card other than Mastercard or Visa.
Please remit payable to: University of Kentucky.
Choose one of the following two options:
1.
Check, bank draft, or money order is enclosed in the amount of US$_______
(payable to University of Kentucky)
2.
Charge US$___________to my Visa Mastercard (Cannot accept other credit cards.)
Credit Card #________________________________________ Expiration Date_____________
Cardholder's Name___________________________________Signature_____________________
Registration Questions? Contact:
Geaunita Caylor
UK/OISTL
107 Mining & Mineral Resources Building
Lexington, KY 40506-0107, USA
Phone: (859) 257-2820
Fax: (859) 257-2173
Email: gcaylor@engr.uky.edu
Cancellation with refund (less 15% administrative fee) is available
until October 15, 2001.
No refunds will be made after October 15, 2001.
Confirmation and receipt will be sent only upon request by notifying
Geaunita Caylor at 859/257-2820 or email gcaylor@engr.uky.edu. Your receipt will
be included with the symposium materials you receive at the registration desk.
Substitutions may be made at any time by notifying Ms. Caylor at 859/257-2820.
Please advise us in advance of any name changes.
Each attendee will be provided with a booklet of abstracts with his/her
symposium materials in order to facilitate his/her selection of presentations
to attend.
We cannot accept any credit card other than Mastercard or Visa.
FOR OFFICE USE ONLY
Check #_______________
Amount US$___________
Date Rec'd_____________
Invoice AUS02-_______TL___________
|