2007 Tidal Energy Conference by euw99833

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                                                         2007 Tidal Energy Conference
                                                                    Ted Ferry Civic Center
                                                                     888 Venetia Avenue
                                                                      Ketchikan, Alaska

                                                                      January 23-24, 2007

                                                                   REGISTRATION FORM
 Name                                                 Position


 Company


 Department


 Address


 City                                   State                                 Zip


 Phone                                  Fax                                   e-mail



 Fees:             $75 Postmarked by January 12, 2007
                   $50 Daily
                   I am a speaker!

 Payment:            Check #_________           Authorized Signature: _______________________________

                     Credit Card (ONLY prior to the conference)                          VISA              Master Card

 Name on Card _______________________              Card # ____________________________________

 Expiration Date: ______________________

 Signature: _________________________________                     Date: _________________________


Do you have any specific physical or dietary needs?                   No       Yes __________________________

This form, with credit card information, may be faxed to KPU at (907) 247-0755, or e-mailed to KIMH1@city.ketchikan.ak.us

         Checks (made payable to Ketchikan Public Utilities), along with this form, should be mailed to:

                                                 Ketchikan Public Utilities
                                                 Tidal Energy Conference
                                                     1065 Fair Street
                                                    Ketchikan, AK 9901

								
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