ESRDC: Electric Ship Research and Development Consortium, 2008 ESRDC Team Meeting Registration Form

2008 ESRDC Team Meeting
Registration $100
Deadline for registration is Thursday, 15 May 2008

Please submit this completed form and mail a check made payable to The University of Texas to
Attn: Theresa Caillouet
The University of Texas
Center for Electromechanics
1 University Station #R7000
Austin, TX 78712.
Questions? Please contact Theresa Caillouet, 512.232.1649, t.caillouet@mail.utexas.edu

Please note that all form fields are REQUIRED.

Please note that only ESRDC members can attend the ESRDC Team Meeting.

Please note that US citizens or non-US citizens with permanent US residence or work visas can attend the ESRDC Industry Workshop.

CONFERENCE ATTENDANCE
ESRDC Meeting 20-21 May, 2008
ESRDC Industry Workshop 21-22 May, 2008
NAME INFORMATION
First Name:
Last Name
Title (Dr./Mr./Ms., etc.)
Job title
Name for badge
Organization/Company
Department
MAILING ADDRESS
Address
City
State
Postal Code
CONTACT INFORMATION
E-Mail
Phone Office
Phone Mobile
Fax
CITIZENSHIP INFORMATION
Citizenship
ASSISTANT'S INFORMATION
Assistant's Name
Assistant's Phone
Assistant's email

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For more information, contact Terry Ericsen
	ericset@onr.navy.mil
	(703) 696-7741