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Electrical Industry HR Forum Registration
Tuesday, April 25, 2017 — 8:30a.m.
Lindner Conference Center
610 E. Butterfield Road, Lombard, IL
Download complete forum details 
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| Contact Name |
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| Title |
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| Company |
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| Street Address |
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| City, State, Zip |
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| Phone |
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| Email Address |
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EA Member ($25 per person) |
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Non-Member ($60 per person) |
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| Method of Payment |
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| Credit Card Number |
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| CC Exp. Date |
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| Cardholder name |
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Credit card billing address is the same as company address above
If credit card billing address is different from company address, please specify below: |
| CC Billing Street Address |
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| CC Billing City, State, ZIP |
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Signature
(if printed) |
_____________________________________________ |
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By submitting this electronic form, I authorize the Electric Association to charge
the appropriate amount (plus 5% processing fee) to the above credit card in registration for the specified trade show
(all prices are in US dollars). |
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If you prefer not to register online, print this
page and fax it to the Electric Association at: 630-305-3056 (fax). |