Name__________________________________________________________
Affiliation___________________________________________________
Address_______________________________________________________
City__________________________State____________Zip____________
Telephone______________________FAX____________________________
E-Mail________________________________________________________
Registration fee............................If paid by Oct. 14
Combustion Institute members $ 200
Non-members $ 240
Students $ 50
Registration fee............................If paid at meeting
Combustion Institute members $ 240
Non-members $ 280
Students $ 60
Book of Abstracts Only...............................$ 35
Welcome Reception: Sunday, October 26, 6:00-8:00 pm
Light refreshments, cash bar........................Gratis
I expect to attend______________
Number of guests________________
UTRC Reception: Monday, October 27, 6:00-7:00 pm
Light refreshments and selected beverages...........Gratis,
thanks to UTRC!
I expect to attend______________
Number of guests________________
Banquet: Tuesday, October 28, 7:30-9:00 pm...........$ 20 ea.
Indicate number of persons for each choice of entree:
Chicken_______ Beef_______ Vegetarian_______
Advanced registration for banquet is encouraged.
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Payment - Due October 14
[__] Paid herewith US $_________
[Payment refundable if requested by October 20, 1997]
[__] By check
(Payable to Eastern States Section, Combustion Institute)
[__] By credit card:
[__] MasterCard [__] Visa
Card No.__________/__________/__________/__________
Expiration date____________________________________
Cardholder name____________________________________
Cardholder signature_______________________________
[__] Will pay at meeting
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