REGISTRATION FORM

1999 NAVY / MARINE CORPS
CLEAN AIR ACT CONFERENCE
22 - 24 June 1999
New Orleans Marriott * 555 Canal Street * New Orleans, LA * 70130-2300 * (504) 581-1000


PRINTABLE PDF VERSION OF THIS FORM (104 K SIZE FILE)
(IF YOU PREFER TO FAX OR MAIL)
(INSTRUCTIONS FOR VIEWING PDF FILES)
(NOTE: If you fill out and submit this online registration you do not need to mail or fax another copy of the registration form. To avoid duplication, do not fill out this online form if you have already sent a registration in.)

Attendance is restricted to government personnel and those contractors sponsored directly by Navy/Marine Corps personnel.

First, please enter your e-mail address to receive a confirmation that your registration is received:
(NOTE: DO NOT PUT ANY SPACES IN YOUR E-MAIL ADDRESS)

Last Name: First Name:
Rank/Grade:
Command Name:
Command Address: Code:
City: State: Zip:
Telephone: () Fax: DSN #:


NAME TAG INFO
How do you want your nametag to read?
NAME
ACTIVITY

Attendees are responsible for arranging their own hotel accomodations.
I Plan on attending: (Check the appropriate)
FEE
 Two/three days of conference:
$90
One day only, on (pick day):
Tuesday, 22 June
 Wednesday, 23 June
Thursday, 24 June
$45
Total amount due:
Payable at Conference
$

No Credit Cards    *    No DD1556    *    Check or Cash Only    
Any additional comments or notes on the above:


   

Uniform of the day:
Navy - Summer Khaki
Marines - Summer Service C w/ribbons

Conference Pre-registration: Monday, 21 June, 1600-1800, Hotel Lobby
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