2012 Fall Technical Seminar & Expo October 10 – 13, 2012 ... - IKECA

Three Easy Ways to Register:On-line at www.ikeca.org, Mail or FaxRegistration Form2012 IKECA Technical SeminarOctober 10 – 13, 2012 | Indianapolis, INCrowne Plaza at Historic Union StationName (Attendee 4):Nickname (for Badge):Attendee Email:Emergency (Name/Phone):Name (Attendee 5):Nickname (for Badge):Attendee Email:Emergency (Name/Phone):Name (Attendee 6):Nickname (for Badge):Attendee Email:Emergency (Name/Phone):Reception Only - Name (Attendee 1):Nickname (for Badge):Attendee Email:Reception Only - Name (Attendee 2):Nickname (for Badge):Attendee Email:Spouse/Companion - Name (Attendee 1):Nickname (for Badge):Attendee Email:Spouse/Companion - Name (Attendee 1):Nickname (for Badge):Attendee Email:Additional InformationCancellationsCancellations must be received in writing by October 5, 2012 to receive a refund and are subject to a $100 processing fee. Forms must be received by October5, 2012 or you will have the option to register onsite.Dine Around DinnersThis is a great networking opportunity, especially if you arrive on Wednesday and/or are new to IKECA. Reservations will be made at various restaurants indowntown Indianapolis. Attendees are responsible for all fees associated with transportation and food and beverage. If you would like to participate, pleasenote this on the registration form above. Registrations will be available on a first come, first-served basis. A member of the IKECA Management Team willcontact you with available restaurant selections.Spouse/Companion RegistrationSpouses/companions who register at the full access rate are eligible to attend all events throughout the course of the Seminar. Spouses/companions who wishto attend just the Thursday evening reception may register for that event separately.100 North 20th Street, Suite 400 | Philadelphia, PA 19103-1462 | Ph: (215) 320-3876 | Fax: (215) 564-2175information@ikeca.org • www.ikeca.org