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Advance Registration and Sponsorship Form
2010 Hoist & Haul Conference
September 12-15, 2010 • The Mirage Hotel • Las Vegas, Nevada
INSTRUCTIONS
• Registration may be sent via FAX only if payment is by credit card.
Fax 303-979-3461.
• Questions should be directed to SME, Meetings Dept. 303-948-4200.
• For Advance Registration Rates, registration and payment must be
received by August 20, 2010.
• A $100.00 processing fee will be assessed on cancellations and
substitutions. No refunds after August 20, 2010.
Name as it will appear on badge
Job Title
Employer
Address
REGISTRATION & CONTACT INFORMATION
MAIL: Society for Mining, Metallurgy,
and Exploration, Inc.
8307 Shaffer Parkway
Littleton, CO 80127
PHONE: 303-948-4200
FAX: 303-979-3461
ONLINE: www.smenet.org
City State Country
Zip/Postal Code
Employer’s Phone
Email
Fax
qPlease send me a letter of invitation to the above address/email.
Member Number
Field /Interest
(Check one)
____ Coal Mining (1B)
____ Coal Processing (6)
____ Construction Materials & Aggregates (CA)
____ Economics (4)
____ Environmental (7)
____ Geology/Exploration (8)
____ Government (2)
____ Industrial Minerals Mining (1C)
____ Industrial Minerals Processing (1D)
____ Manufacturing (5)
____ Metallurgy (9)
____ Metals Mining (1A)
____ Metals Processing (10)
____ Underground Construction Tunneling (11)
Job Description
(Check all that apply)
____ Consultant (C)
____ Educator (D)
____ Engineer (E)
____ General Manager/Vice President (G)
____ Geologist (H)
____ Marketing/Sales (M)
____ Mine/Plant Manager (N)
____ Owner (O)
____ President/CEO/COO (P)
____ Purchasing Agent (R)
____ Scientist/Researcher (S)
____ Student (T)
____ Supervisor/Foreman (U)
Registration Fees
Registration fees include: Proceedings, Reception Sunday Evening, Daily Morning and Afternoon
Coffee Breaks, Lunch on Monday and Tuesday, Dinner on Monday, Technical Sessions
and Table Top Exhibit Displays.
BEFORE 8/20/10 AFTER 8/20/10
q SME, Member (M) $795 (US) $895 (US) $ ——————
q Nonmember (NM) $945 (US) $1045 (US) $ ——————
q Author (AT) $795 (US) $895 (US) $ ——————
q Student (S) $375 (US) $375(US) $ ——————
Attendance
Please indicate whether or not you will be attending the following functions. These functions
are included in your registration fee. You may purchase additional tickets for a spouse or guest.
SUNDAY, SEPTEMBER 12, 2010
Welcome Reception q Attending q Not Attending
Additional Ticket (AWR) $40 $ ——————
MONDAY, SEPTEMBER 13 2010
Luncheon q Attending q Not Attending
Additional Ticket (ATL) $50 $ ——————
Dinner q Attending q Not Attending
Additional Ticket (ATD) $95 $ ——————
TUESDAY. SEPTEMBER, 14, 2010
Luncheon q Attending q Not Attending
Additional Ticket (AFL) $50 $ ——————
Field Trip (Not included in registration fee.)
WEDNESDAY, SEPTEMBER 15, 2010
Hoover Dam (HDT) $55 $ ——————
REGISTRATION TOTAL $ ——————
REGISTRATION PAYMENT
qAmerican Express qDiscover qMasterCard qVisa
qCheck or Money Order (Make checks payable to SME in US Funds)
Card No. Exp. Date /
Name on Card ____________________________________________________________
Signature ________________________________________________________________
SPONSOR FORM/CONTRACT
Company Name
Contact Person
Title
Street Address
City State Zip/Postal Code
Phone
Fax
Email
Web Address
Sponsorship Choice(s)
1. $
2. $
3. $
4. $
5. $
SPONSORSHIP TOTAL $
SPONSORSHIP PAYMENT
qAmerican Express qDiscover qMasterCard qVisa
qCheck or Money Order (Make checks payable to SME in US Funds)
qSend Invoice
Card No. Exp. Date /
Name on Card ____________________________________________________________
Signature ________________________________________________________________
For Sponsorship Questions Contact: Liz Jones at SME
Phone: 303-948-4216, Fax: 303-979-3461
Email: jones@smenet.org