the registration form

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UTC Region 9 Fall Technical Conference
September 4-6, 2013
Best Western Agate Beach Hotel
3019 N Coast Highway, Newport, Oregon
Social Networking Event: Evening of Wednesday, September 4
Main Sessions: Thursday–Friday, September 5-6
See Conference Agenda for details
Registration is free if this form is received before August 15, 2013; after that date, the Region reserves
the right to charge $50/person for registration. Please fill out this registration form for each attendee and
save it (use Save As). E-Mail completed forms to Dave Tripp at dhtripp@bpa.gov.
Attendee Name
Company
E-Mail
Phone
Will
Attend
Will Not
Attend
Event
Press the spacebar
to select option
Social Networking event, Wednesday evening, September 4th
Breakfast, Thursday, September 5th
Morning Session, Thursday, September 5th
Lunch, Thursday, September 5th
Afternoon Session, Thursday, September 5th
Dinner, Thursday evening, September 5th
Number of Dinner guests with attendee:
Name of guest 1:
Name of guest 2:
Name of guest 3:
Breakfast, Friday, September 6th
AM Session, Friday, September 6th
Interested in golf game, Friday P.M., September 6th
Interested in golf game, Saturday A.M., September 7th
Room reservations: Please make room reservations directly with Best Western Agate Beach at 541-265-9411.
Mention you are attending the UTC Region 9 Technical Conference.
For UTC Core Members: Region 9 will cover hotel room costs for first-time attendees, attendees beyond one per
company, or if member is unable to attend otherwise.
Based on the above, I request that Region 9 cover my hotel room. I will make room
reservations. Charges will be covered when I attend the conference.
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