Conference Registration
- Special Group Discount: First two conference registrants pay full price, the third person from the same organization may register at no charge (3rd person free)
(Please print or download a pdf copy of this form – complete – FAX or mail to IEHRA)
- Click here to download this form -
Click here to download Form
The Conference fee includes general sessions, welcome reception on Wednesday evening, breakfast and lunch on Thursday and Friday, dinner and event on Thursday evening. The fee is fully refundable if cancellation is received prior to 8/28/09. (Spouses are invited to attend the Welcome Reception, the Thurs. Eve. Dinner Event and the Fri. Luncheon at no cost )
Name______________________________________Title______________________________________________
Name for Badge_______________________________________________________________________________
Company_____________________________________________________________________________________
Address______________________________________________________________________________________
City_________________________________________________________State____________Zip_____________
Phone #_____________________ Fax #_________________ Email_____________________________________
Spouse will attend ____Yes ___ No Spouse’s name for badge __________________________________________
I plan to attend the Compensation Workshop
Yes____ No____ (Scheduled for Wed.9/30 from 12:30 - 3:00PM)
To assist attendee
networking opportunities please check off the industry sectors /
product areas that you service:
Fossil Generation _____ Alternative
Energy Generation (Wind, Solar)_____ Corporate_____
Fossil Generation & Alternative Energy Generation (Wind,
Solar)_____ Wholesale Energy (Marketing & Trading)_____
Retail Gas & Power (Commercial & Industrial)_____
LNG_____ Other____________________________________
[ ] CHECK My check for $___________ made payable to IEHRA
*Mail check and completed form to: IEHRA, 3514 Sycamore Shadows, Kingwood, TX 77339
[ ] CREDIT CARD Please charge $_____________to my: [ ] American Express [ ] VISA [ ] Master Card
*If paying by credit card FAX this completed form to IEHRA - 281-358-9367 (No cover sheet necessary)
Card No:______________________________________________________ Exp. Date______________________
Name as it appears on credit card (please print)______________________________________________________
Signature _____________________________________________________Date signed______________________
Hotel Accommodations: Reservations may be made by calling the
Gaylord Texas at 817-778-2000. A block of rooms have been reserved for conference participants at the discounted rate of $199.00 per night during the conference plus a daily service fee and taxes. Please mention that you are with the IEHRA Conference and make your reservation by
August 28, 2009 to ensure this rate.
Conference cancellation policy: If cancellation is received by Friday, August 28, 2009, a full refund will be granted. If cancellation is received between August
29th thru, September 15th one-half the registration fee will be refunded. There will be no refund for cancellations after September 15, 2009 or for no shows. Cancelled registrations may not be carried forward to future conferences. Substitutions for paid registrants may be made at any time.
Dress: Business Casual. Note: A/C will be carefully controlled. However, individual comfort levels vary; a sport jacket or sweater is recommended.
Special Needs: In you have any special dietary or other requirements, please advise Paul Floth in advance (IEHRA TEL. # 281-358-4063)
For additional information about the conference or registration contact:
Paul Floth, Executive Director, IEHRA at
281-358-4063 or e-mail pefloth@iphra.com
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