NAICS Association - First International NAICS Users Conference

First International NAICS Users Conference
Registration Form

Name:
Organization:
Mailing Address:
City:	State:	Zip:
Phone (day):	Phone (evening):
Fax:	Email:

Registration Options:

q Early registration (by August 15)      $495
q Late registration (after August 15)    $595
q Exhibitor registration                         $600

q Reasonable accommodation is available for persons with disabilities. Please check here for additional information. Ten working days notice is needed to prepare materials and services.

Refunds will be made to those registrants who must cancel, less a $30 processing fee. A written cancellation request received by September 15, 1998 must be submitted. No refunds will be made after this date. Utah State University reserves the right to cancel this program due to insufficient enrollment and limits its liability to registration refunds only.

Payment Methods:

q Check (payable to Utah State University)
q Purchase Order # __________________
(please enclose copy)
q Credit Card (give complete information below)

Credit Card Information:

q VISA q MC q Discover q Diners q AMEX

Name on card:

Card #:

Expiration Date:

Signature:

Confirmations will be mailed out on registrations received at least 14 days prior to the conference. There after, registrants will receive their receipt at on –site registration.

SES4718

FOR OFFICE USE ONLY
Batch Date	Initials
Participant No.	Date Pmt. Rec’d
Confirm. Sent	q Check Business #
q Inv. No.	q Cash	Personal #
Cancel Date	q Visa q MC q Dis q Dnr q Amex
q CR Refunded	Total Amt. Rec’d

Print this form and fax it to: (435) 797-0636 or (435) 797-0036

NAICS Association
129 Lakeshore Drive
Rockaway, NJ 07866 USA
Phone: 973-625-5626
Fax: 973-556-1939
Internet: www.naics.com
Email: info@naics.com

Contact webmaster@naics.com with
questions or comments about this web site.