2008 ElectriCities Annual Meeting Registration Form

Please complete a seperate registration form for each delegate. Fill out the appropriate information below, then press "Submit" button at the end of this form.

* - Required

Email Address*

Verify Email*

Member city and/or company name:*

Delegate Info

Full Name as it should appear on badge*

Title*

Nickname / First name only*

Delegate Fees*
General Registration - both days$325.00
Friday Only (Sessions Only)$225.00
Saturday Only (Sessions Only)$125.00
Friday night reception and banquet (not included with registration fee)$60.00

Guest Info

Note: This form can accept up to five guest registrants. If you have more than five guests, please register by mail.
Also, be sure to select all fees that apply to your guest(s).

Guest Activity Fees include breakfast and lunch on Friday and breakfast on Saturday.
The Banquet Fee is for guests attending the Friday evening reception and banquet.
Guests 10 and under can participate at no cost.

First Guest

Guest Name as it should appear on badge

Nickname / First name only

Your first guest is a(n):
Adult
Child

If Child, Please enter age:

Fees for your First Guest
Guest Activity Fee$85.00
Banquet Fee$60.00

Second Guest

Guest Name as it should appear on badge

Nickname / First name only

Your Second Guest is a(n):
Adult
Child

If Child, Please enter age:

Fees for your Second Guest
Guest Activity Fee$85.00
Banquet Fee$60.00

Third Guest

Guest Name as it should appear on badge

Nickname / First name only

Your Third Guest is a(n):
Adult
Child

If Child, Please enter age:

Fees for your Third Guest
Guest Activity Fee$85.00
Banquet Fee$60.00

Fourth Guest

Guest Name as it should appear on badge

Nickname / First name only

Your Fourth Guest is a(n):
Adult
Child

If Child, Please enter age:

Fees for your Fourth Guest
Guest Activity Fee$85.00
Banquet Fee$60.00

Fifth Guest

Guest Name as it should appear on badge

Nickname / First name only

Your Fifth Guest is a(n):
Adult
Child

If Child, Please enter age:

Fees for your Fifth Guest
Guest Activity Fee$85.00
Banquet Fee$60.00