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preRegistration Form for the

Center for Power Systems Studies

2004 South Dakota Regional power Conference

 

1) print pages in landscape

2) complete the form BY OCTOBER 13, 2004

     and mail to:

 

center for power systems studies

Karen bravek, senior secretary

dept. of electrical engineering and computer science

hh 201

south dakota state university

brookings, sd 57007

 

make check(s) payable to: 

                        CPSS -- account # 316650

 

 

 

 

 

 

 


 

 

 


 

Registration Form for the

Center for Power Systems Studies

2004 South Dakota Regional power Conference

October 19, 2004

Brookings Inn, Conference Center

Brookings, SD


Preregistration is strongly requested

Conference Fee (includes lunch)       $35.00

Awards Banquet Fee                                  $15.00

Total                                                                  $50.00                                                                              

                                                                                                                                                                       $35      $15        $50

name ___________________________________   email _______________________________     ____     ____      ____ 

(point of contact)

 

name ___________________________________   email _______________________________     ____     ____      ____ 

 

name ___________________________________   email _______________________________     ____     ____      ____ 

 

name ___________________________________   email _______________________________     ____     ____      ____ 

 

name ___________________________________   email _______________________________     ____     ____      ____ 

                                                                                                                                                 total _____________________

                                                                                                                                                 If paying at door,

                                                                                                                                                 10 % charge will be added

COMPANY    ______________________________________

ADDRESS       ______________________________________

                        ______________________________________

                        ______________________________________
phone (point of contact) ______________________