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Annual Meeting Registration

May 22-24, 2007
Omni Parker House*, Boston, MA
*Please note, the last day to make hotel reservations at the group rate is April 22.

Is your organization a paid 2007 ESA member?

If YES, check here
Membership Name:


If NO, you can either:
1. Join ESA now (please return to this page later to complete registration)
2. Continue with your registration as a non-member

Are you the principal ESA representative for your organization?
(ESA membership includes one paid admission to the Annual Meeting. Additional attendees from the same organization are required to pay.)

If YES, check here

If NO, please follow the instructions at the conclusion of the registration process on how to submit your proper payment. Cost is $895. To pay by credit card, please download this form .

Please check here if you are a student
Cost for students is $495. (Please note you will be asked to provide proof of student status by submitting a copy of your student ID and a current class schedule).

Registration Form
*indicates required field
Prefix




*First Name
*Last Name
Title
*Organization
*Preferred Name for Badge
*Address 1
Address 2
*City
*State
*ZIP or Post Code
Country
*Telephone
Fax
*Email

In addition to the two-day ESA Annual Meeting, I plan to attend:

Opening Reception (May 22, 6:00-10:00 pm)
(no additional charge)

Gala Reception at New England Aquarium (May 23, 6:00 pm)
(no additional charge for registered attendees)
I plan to bring a guest to the reception ($45 additional charge)
Guest's name, as it should appear on badge:

Tour of Beacon Power facility (May 25, 9:30 am)
(no additional charge)

******************************************************

Please check here if you would like to be contacted regarding possible tourist activities for your accompanying guest.




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65 Middlesex Road, Tyngsboro, MA 01879 | Phone (978) 694-9121 | Fax (978) 694-9127