NEHA 2005 AEC & exhibition registration form.
Please type or print clearly--name badges will reflect this registration information.
Your registration will be confirmed by e-mail. Please call a NEHA Service Specialist at 303-756-9090, ext. 0, if you do not receive your confirmation.
Your badge and registration packet will be available on site at the registration desk.
Thru After 1. Education and Membership June 10 June 10 Total Full Conference Registration: Member/ Member/ Includes Sun.-Wed. education, plus one Nonmember Nonmember each of the * items from special events $459/$559 $559/$659 One-Day Registration: $199/$229 $229/$259 Includes education plus the * item (if applicable) for day specified in special events. (Does not include Presidents Banquet.) Please Specify: Sun.______Mon.______ Tues.______Wed.______ NEHA Retired and Student Member $95 $95 Registration: Includes Sun.-Wed. education (Does not include food functions or special events.) REHS/RS Review Course $329/$429 N/A Fri., June 24 and Sat., June 25 (REHS/RS Study Guide and exam fee included.) CFSP Review Course $329/$429 N/A Fri., June 24 (CFSP Study Guide Package and exam fee included.) CPO* Class: Fri., June 24 and Sat., June $189/$289 $199/$299 25 Instrumentation and Sampling $89/$109 $99/$119 Workshop: Sat., June 25 NSF Plan Review Survey Course $99/$139 N/A Sat., June 25 Food-Safe Schools Action Guide Workshop N/C N/C Sat., June 25 (Limit 50 people) * Please check this box to be considered for this workshop Risk Communication Workshop Sat., June N/C N/C 25 (Limit 50 people) * Please check this box to be considered for this workshop NEHA Membership Fee** $85 $85 Subtotal ** Please note: Membership begins upon receipt of payment. Thru After 2. Special Events and Tour June 10 June 10 Total NEHA Golf Tournament (Fri., June 24) $105 $110 (Includes tournament, transportation, and reception) Handicap:______ * Exhibit Hall Party (Sun., June 26) $25 $30 Uniformed Services Luncheon & Business $9 $12 Meeting (Sun., June 26) * Networking Luncheon (Mon., June 27) $47 $55 UL Wine Tasting and Cookout (Limit 250 $17 $20 tickets) (Mon., June 27) AAS Luncheon & Business Meeting (Tues., $31 $35 June 28) * Presidents Banquet (Wed., June 29) $47 $55 PROTOUR-Alternative Treatment $18 $20 Systems Field Trip (Mon., June 27) (*) Items included in some registrations Subtotal as indicated in section 1 TOTAL DUE (Box 1 & Box 2 subtotals combined)
REFUND POLICY: All cancellations must be received in writing for consideration. If NEHA is notified by May 20, 2005, a full refund will be issued--less a $50 non-refundable fee for all can cellations. If NEHA is notified after May 20, 2005, but on or before June 3, 2005, a 50% refund will be issued. No refund will be granted after June 3, 2005. Extra function tickets will not be refunded after June 3, 2005. You will receive a registration confirmation by e-mail.
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|Publication:||Journal of Environmental Health|
|Date:||Apr 1, 2005|
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|Next Article:||10 great reasons to come to NEHA's 69th Annual Educational Conference & Exhibition.|