The Corona Technology Conference Registration: Effective: August 19, 2008
Course Registration includes 1 days of High Voltage Training about Electrical Effects, Detection, and Capture with Corona Tech Exam. available
Individual registration is $550 USD during September 2008
Individual registration is $600 USD during October 2008
Individual registration is $650 USD during November 2008
Individual registration is $700 USD during December 2008
Individual registration is $750 USD during January 2009 and at the door.
| Date | Location | Hotel/Conference Ctr. | No. of Attendees |
|---|---|---|---|
| January 12, 2009 | Tempe, AZ | ____ |
Each Attendee Please print-out and fax this form to (608)589-5509 for more info.
Name:___________________________ Phone:______________________
Company:________________________ Fax: ______________________
Address:_____________________________________________________
City, ST, Zip: ____________________________________, ____, ________
Email:________________________________________________________
Invoice To:____________________________________________________
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Credit Card Type:_______ Expires:_________/___________3 digit_______
Card Number: __________________________________________________
Name on Credit Card:_____________________________________________
Billing address for Credit Card:______________________________________