Reservation Form Siouxland IEEE Section - Managing Negotiations
Workshop
Name:
______________________________
IEEE Member # (needed for $150
rate):___________________
Employer:
_____________________________
Address:
______________________________
City/State:
_____________________________
Phone: _____________________
E-Mail Address: ____________________________
Registration Fee - $150 IEEE Members,
$200 Non-Members ($15 late fee for all registrations after March 24, 2004)
Please send the completed form along with check payable to Siouxland IEEE
to:
Jeff White
c/o Interstates Control
Systems, Inc.