Conference Registration Form and Membership Application |
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Electrical Workers Minority Caucus |
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16th Annual National Meeting |
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January 12 - 15, 2006
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Hilton
Houston Post Oak |
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2001
Post Oak Boulevard, Houston, TX 77056 |
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Special
EWMC Sleeping Room rates available on a first come first serve basis. |
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Reservations:
www.hilton.com or 1-800-HILTONS or 713-
961-9300 |
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Please
submit a separate form for each delegate. |
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The $190.00 conference registration fee includes $40.00
for membership dues. |
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Please check the appropriate box. |
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$190.00 for conference registration and 2006 EWMC
membership dues £ |
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$150.00 for conference registration only £ |
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$40.00 for 2006 EWMC membership dues £ |
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Name
________________________________________________________________________ |
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Mailing Address
________________________________________________________________ |
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[Street] |
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_____________________________________________________________________________ |
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[City,
State and Zip Code] |
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Telephone Numbers ____________________________________________________________ |
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Member of IBEW Local Union No. _____________ Vice-President District No. ______________ |
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Current Job Classification
________________________________________________________ |
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Current IBEW Local Union or International Job
Classification ____________________________ |
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Please make your check or money order payable to: |
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Electrical Workers Minority Caucus (EWMC) |
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PO Box 642 |
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El Cerrito, CA
94530 |
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EWMC Conference Registration Questions: (510) 848-6714 |
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Pre-Registration Deadline January 5, 2006 |
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On-site registration starts Thursday, January 12,
2006 at 3:00 p.m. |
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No Conference Pre-Registration Refunds will be
made after January 5, 2006 |
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