CONFERENCE REGISTRATION FORM

 

Registration Information:

Cost $175 per person, $75 per person for government employees
Accommodations Call University Place Doubletree Hotel (317) 269-0000
Cancellation/Refunds Refund requests will be reduced to a fee of $50.  Substitutions are welcomed and encouraged at no charge.  Please contact Kay Squires to designate a substitute.

There are FOUR easy ways to register:

MAIL this registration (with check payable to "Energy Efficiency Conference" to Kay Squires, 1700 One American Square, P.O. Box 82053, Indianapolis, IN 46282.
FAX this registration with credit card information to Kay Squires (317) 639-4882
WEB SITE!    Complete the Conference Registration Form below and submit to Kay Squires using secure SSL transaction.
CALL Kay Squires (317) 639-1210 (be prepared to give credit card information)

Method of Payment:

Check Payable to Energy Efficiency Conference will be mailed to Kay Squires c/o Lewis & Kappes, P.C. 1700 One American Square, P.O. Box 82053, Indianapolis, IN  46282-0003

Credit Card Payment    

Visa MC  Discover  AmEx

Name of Cardholder
Account No.            
Expiration Date        

Registration Form:

Name of attendee(s)     
Company                 
Street Address          
P.O. Box                 
City State Zip          
Telephone               
Fax                     
E-Mail
Please send confirmation regarding this matter.


Revised: March 24, 2003.