COALTECHNOLOGYASSOCIATION
CLEARWATER CLEAN COAL CONFERENCE
 |
 |
 |
 |
 |
 |
 |
 |
 |
REGISTRATION
FORM
(Return
with payment) – or
call with credit card information to avoid filling out the form
$995 from May 16th to the conference.
35th International Technical Conference
on Clean Coal & Fuel Systems
June 6 to 10, 2010
Sheraton Sand Key
Clearwater, Florida, USA
Name_______________________________________________
First Name for
Badge__________________________________
Title________________________________________________
Company____________________________________________
Address_____________________________________________
City__________________________State_______Zip________
Country_____________________________________________
Phone_______________________________________________
FAX________________________________________________
Email_______________________________________________
Registration Fee: $____________
OPTIONAL EXTRAS:
Field Trip (6/11/10) to Polk Power Plant $125.00
Spouse's Name_______________________________
Printed Proceedings volume -- CD-Rom is included in registration fee;
this is for a printed volume: $150.00
GRAND TOTAL (Registration plus Extras):
Wednesday Themed Luncheon:
Seat me at the Table on ___________________
The
registration fee covers one CD-Rom of the Proceedings, all conference
events (Sunday through Thursday (excluding the Polk trip), the Exhibit Center, 4 luncheons, 2 evening parties, all breaks,
all Continental breakfasts, and all conference materials.
Method of Payment; Check One:
Check enclosed (payable to CTA; remit to 601
Suffield Drive, Gaithersburg, MD 20878);
or
VISA No._________________________________________________________________
MasterCard No.___________________________________________________________
VISA
or MasterCard Expiration Date: ___________________________________________
Signature:________________________________________________________________
Coal
Technology Association's FEIN: 75-1486129
ð
Send information
about the Exhibit Center.
Spouses
Registration -
With so much to see and do in the
Clearwater area; we don't plan specific activities for spouses.
However, the $150 fee covers the Welcome Party, four luncheons,
beach party, Continental breakfasts and all refreshment breaks.
Keep in mind, the on-site spouse's registration is $175.
Student
Registration --
To encourage
participation by full-time students currently enrolled in a college or
university, the Conference Committee is offering a registration fee of
$295.
Cancellations received in writing by May 10th will be refunded in
full, less a $25 administrative charge.
Cancellations received after this date will not be refunded.
Substitutions are welcome at any time.
Fees paid by speakers are not eligible for refunds.
$295.00 – Proceedings Purchase – I can’t attend the
conference please send me the Proceedings ڤ CD-Rom ڤ Printed volume;
enclosed is my payment of $295 ($395 post-conference).
Attendees receive the CD-Rom version at check-in.
You may email your information to BarbaraSak@aol.com;
call 301-330-2256 and we'll register you over the phone; or mail the
form along with your check to CTA.
CTA reserves the right to modify the
Conference Program at any time
35th International Technical Conference
on Clean Coal & Fuel Systems
The Clearwater Clean Coal Conference
Barbara Sakkestad
928 Beacon Square Court #136
Gaithersburg, MD 20878
301-330-2256
barbarasak@aol.com
