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Registration is Closed

Committee Days Online Registration Form
Return by October 27

Registration for members to attend Committee Days is $75. Please register by one of these methods:
ONLINE: Fill out this form and click "Submit" at the bottom
FAX: 703-549-4838 (Print this page.) Print This Page Printable Version
MAIL:Committee Days
99 Canal Center Plaza, Suite 222
Alexandria, VA 22314
(Print this page.)
Check the box next to the committee meeting you wish to attend.
(*) indicates a closed meeting.
Asbestos Legislation Taskforce
Outlook Growth Taskforce
Associates Committee
Board of Directors *
Contractor Health & Safety Committee
2004 Convention Committee *
Council of Committees *
Distributor/Fabricator Committee
Executive Committee *
Foundation Steering Committee *
Joint Associate/Distributor Committee
Marketing & Outreach Committee
Merit Contractors Committee
Refractory Contractors Committee
Technical Information Committee
Union Contractors Committee
Website Committee
Fields in red are required

NIA Luncheon
Thursday, 11:30AM - 1:00PM 		Member (free) Yes No
Spouse/Guest ($35) Yes No
 
Committee Days Reception
Thursday, 6:00PM - 7:00PM (Spouses Welcome) 		Number Attending

Name
Spouse/Guest Name
Company
Company Address
City
State OR Province/Territory
Country
Zip
Phone
Fax
E-mail
(May be e-mail contact of secretary or officer)
Date Arriving
Date Departing
Please contact the Hyatt Regency Reston at 703-709-1234 to make your hotel room reservations by October 27, 2003. The special NIA room rate is $199.00 per single/double, see our hotel information for more details. Should you have any questions, please contact NIA at (703) 683-6422..

Total Due: $


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