Meetings of the IECEx Scheme



Meetings of the IECEx Scheme

Denver, Colorado, USA 23rd - 28th September 2007

Registration Form

Delegates attending the Meeting/s are requested to complete this form and send it (together with a copy of their business card) by August 10, 2007 to the following two addresses

|Contact details for Meeting Host: |Contact details for |

|Mr. Joel Solis |IECEx Secretariat: |

|NEMA |Ms Christine Kane |

|1300 North 17th Street |286 Sussex Street |

|Suite 1752 |Sydney NSW 2000 |

|Rosslyn, VA 22209 USA | |

|Tel : + 1 703 841 3267 |AUSTRALIA |

|Fax: +1 703 841 3267, |Tel: + 61 2 8206 6914 |

|e-mail: joel_solis@ |Fax: + 61 2 8206 6272 |

| |E-mail: christine.kane@ |

|Registration form for Meeting/s (Please use block letters and print clearly) |

|Surname: | |First name: | |

| | | | |

|(Mr, Mrs, Ms) | |Title: (eg Dr.) | |

| | |

|Company/Organisation: | |

| | |

|E-mail: | |Phone: | |Fax: | |

| |

|National Member Body (Country) | |

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|Signatures (National Member Body endorsement required for attendance at ExMC Meeting) |

|Delegate: |Representative of the National Member Body: |

| | |

Please indicate the Meeting/s you will be attending

|Joint Working Groups |ExTAG |Industry Symposium |ExMC |

|1 and 5 | |26/09/06 |27/09/06 28/09/06 |

|23/09/07 (for members only) | | | |

| |24/09/06 |25/09/06 | | |

| |Training workshop | | | |

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| | |

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