Conference Registration Form and Membership Application


Electrical Workers Minority Caucus

16th Annual National Meeting


January 12 - 15, 2006


Hilton Houston Post Oak

2001 Post Oak Boulevard, Houston, TX 77056


Special EWMC Sleeping Room rates available on a first come first serve basis.

Reservations: or 1-800-HILTONS or 713- 961-9300


Please submit a separate form for each delegate.


The $190.00 conference registration fee includes $40.00 for membership dues.

Please check the appropriate box.


$190.00 for conference registration and 2006 EWMC membership dues


$150.00 for conference registration only


$40.00 for 2006 EWMC membership dues


Name ________________________________________________________________________


Mailing Address ________________________________________________________________




[City, State and Zip Code]


Telephone Numbers ____________________________________________________________


Member of IBEW Local Union No. _____________ Vice-President District No. ______________


Current Job Classification ________________________________________________________


Current IBEW Local Union or International Job Classification ____________________________



Please make your check or money order payable to:


Electrical Workers Minority Caucus (EWMC)

PO Box 642

El Cerrito, CA 94530


EWMC Conference Registration Questions: (510) 848-6714

Pre-Registration Deadline January 5, 2006

On-site registration starts Thursday, January 12, 2006 at 3:00 p.m.

No Conference Pre-Registration Refunds will be made after January 5, 2006