October 2004 Meetings Registration

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Meetings Registration
(Members, Academic Affiliates & URC)

Meeting Registrations need to be made by Friday, September 10, 2004

Name:
Affiliation:

Please mark all that apply:

Yes, I will attend in my capacity of:
Member Representative
Member Representative substitute* for
Academic Affiliate
Academic Affiliate substitute*
University Relations Committee Member

No, I will not be able to attend

*Substitutes must be officially appointed by the CEO of the institution you represent, and a letter to this effect should be received in the UCAR Corporate Affairs office (click here for a sample letter) before the meeting.

Address:

Telephone Number:
FAX:
E-mail:
Arrival:
Departure:
Additional Comments:

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