1 Registration Information Conference Online Registration
Please complete the information below, submit the information, then return to the form to select your method
of payment.
Delegate/Organization Address
City State Zip Phone Fax
DELEGATE #1 First Name Last Name Title Email DELEGATE #2 First Name Last Name Title Email DELEGATE #3 First Name Last Name Title Email
DELEGATE #1 First Name Last Name Title Email
DELEGATE #2 First Name Last Name Title Email
DELEGATE #3 First Name Last Name Title Email
DELEGATE #4 First Name Last Name Title Email
DELEGATE #5 First Name Last Name Title Email
DELEGATE #6 First Name Last Name Title Email
Registration Fees & Options
MEMBER FEES for NCAF&E or SCFEA Members 0 1 2 3 4 5 6 $140 (by January 8, 2010) 0 1 2 3 4 5 6 $194 (after January 8, 2010)
NON-MEMBER FEES 0 1 $240 (by January 8, 2010) 0 $297 (after January 8, 2010)
GUEST FEES - SUNDAY 0 1 2 $100 (includes Sessions, Lunch and Showcase) 0 1 2 $52 (Showcase Only)
GUEST FEES - MONDAY 0 1 2 $77 (includes Sessions and Awards Luncheon) 0 1 2 $27 (Awards Luncheon only)
ASSOCIATE / SUPPORTING MEMBER 0 1 2 $355 (includes one full registration) 0 1 2 $100 Additional Representative
EXHIBITING FEES 0 1 $27 Exhibitor Trade Show Booth Fee 0 1 $27 Booth Fee Electrical Service
Please submit the information, then press "BACK" to return to the form before you proceed to your credit card
payment. You do not have to have a PayPal account to use your credit card.
After you have submitted the information, please press CREDIT CARD PAYMENT to complete your registration.