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Online Registration for:

Communication Technologies Forum:

All Industry Summer Social Event: Lake Michigan Fireworks Cruise, July 18th: Learn more

 

Full Name
Company
Company Street Address
Company City, State, ZIP
Phone
Fax
Email Address
   

Registration Fees

 

Attendee registration fee:

Electric Association / CTF Members: $135 per person

Non Members: $150 per person

Total Amount:
  You can print this form and mail it with a check to the Electric Association: 17W733 Butterfield Road, Suite B, Oakbrook Terrace, IL 60181 (or) Visa, MasterCard, and American Express are accepted below.
Method of Payment (a 5% convenience charge will be added to all credit card payments)
Credit Card Number
CC Exp. Date
Cardholder name
  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
CC Billing City, State, ZIP