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Online Registration for Women's Division Events

May 3, 2017: Spring Tour with Gibson Electric - Conrac O'Hare Project

View the Event Invitation

Please read: Parking and Location Information

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

 

Member Registration Rate: $55 per person includes dinner / $65 Non Members

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.

YOu can also print this form, scan and email to: akasser@eachicago.org

Cancellations three or less business days before the event will not be given a refund.

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