Registration Form

INDIANA ENERGY CONFERENCE REGISTRATION FORM
CLE CREDIT APPLIED FOR

MEETING TODAY'S ENERGY CHALLENGES
October 2, 2008
University Place Conference Center
Indiana University/Purdue University Indianapolis Campus

Registration Information:

Cost	$195 per person $95 per person for government employees $20 Binder Fee (optional)
IMPORTANT Presentation Materials on CD	In order to keep conference fees at the lowest cost to you, the conference materials will be provided on a CD instead of paper copies. If you prefer to have a paper copy, there are two options: * Materials will be posted on the website at www.indiec.com . The link to this information will be emailed to you prior to the conference. You may download these materials and print a copy to take with you. * You may opt to pay an additional registration expense to receive a binder with the printed materials at the time of the seminar.
Accommodations	Call University Place Hotel (317) 269-9000
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 "INDIANA ENERGY CONFERENCE" to Kay Squires, Lewis & Kappes, One American Square, Suite 2500, Indianapolis, IN 46282.

FAX this registration with credit card information to Kay Squires (317) 639-4882

WEB SITE Complete the Registration Form below and submit

CALL Kay Squires (317) 639-1210 (be prepared to give credit card information)

Method of Payment:

CHECK payable to "INDIANA ENERGY CONFERENCE will be mailed to Kay Squires c/o Lewis & Kappes, P.C., One American Square, Suite 2500, Indianapolis, IN 46282

CREDIT CARD PAYMENT (processed through law firm of Lewis & Kappes, P.C.)

Visa MC Discover AmEx

Name of Cardholder
Account Number AND 3-digit code on back of card
Expiration Date

Registration Form:

Name of attendee(s)

Company

Street Address

City State Zip

Telephone

Fax

E-Mail

Registration Cost/Binder Fee

Please print confirmation form for your records after you submit your registration.

	MAIL this registration (with check payable to "INDIANA ENERGY CONFERENCE" to Kay Squires, Lewis & Kappes, One American Square, Suite 2500, Indianapolis, IN 46282.
	FAX this registration with credit card information to Kay Squires (317) 639-4882
	WEB SITE Complete the Registration Form below and submit
	CALL Kay Squires (317) 639-1210 (be prepared to give credit card information)

	CHECK payable to "INDIANA ENERGY CONFERENCE will be mailed to Kay Squires c/o Lewis & Kappes, P.C., One American Square, Suite 2500, Indianapolis, IN 46282
	CREDIT CARD PAYMENT (processed through law firm of Lewis & Kappes, P.C.)

Name of attendee(s)
Company
Street Address
City State Zip
Telephone
Fax
E-Mail
Registration Cost/Binder Fee

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