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___________
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