Instructions: Complete one form for each officer who will attend the conference. All registrations must be completed, signed, and submitted, FAXed or mailed to the Industrial Sector Services Department by the registration deadline of July 23, 2010.
If mailing, please download the PDF form above, complete, sign and mail to
International Brotherhood of Boilermakers
Industrial Sector Services Department
Attn. Erica Turney
753 State Ave, Suite 570
Kansas City, KS 66101.
If FAXing, please download the PDF form above, complete, sign and FAX to 913-281-8104, ATTN: Erica Turney
(* denotes required fields.) |
| First Name* |
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| Last Name* |
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| Nickname (optional) |
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| Street Address* |
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| City* |
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| State/Province* |
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| Zip/Postal Code* |
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| Phone Number* |
Format(###-###-####)
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| Email Address* |
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| Local Lodge No.* |
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| Current Office in Lodge* |
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| Local Lodge Officer authorizing this person to attend* |
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| Will you be attending the auditing workshop?* |
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Yes
No
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| Will you be attending the Reception on Monday, August 16th at 6:00pm?* |
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Yes
No
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| If attending reception, how many guests will attend with you?* |
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CONFERENCE REGISTRATION DEADLINE - July 23, 2010
PLEASE NOTE: Completing this registration form registers you for the Conference only. You must make your own room reservations with the hotel.
HOTEL REGISTRATION DEADLINE - Friday, July 23, 2010
Call 1-866-227-5944 and ask for the International Brotherhood of Boilermakers rate of $125.00 per night.
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