Materials Week Registration 

Name_________________________________ 

Company _____________________________ Email ______________________ 

Street Address _________________________ Phone ______________________ 

City, State Zip __________________________

Registrations must be in by April 10, 2002 to ensure a meal 

Events Attending

Number

Cost per

Total

April 16, 2002 at Eli Whitney Museum

  

$15.00

  

Seminar: April 17, 2002 at UConn

  

Free

  

April 18, 2002
at Marriott Hartford Windsor Airport

  

 

  

Tour/Exhibition/Seminars (only):

  

 

  

Regular Adult Member

  

$25.00

  

Retired Adult Member

  

$10.00

  

Student

  

Free

  

Diner/Talk & Tour/Exhibition/Seminars 

 

 

  

Regular Adult Member

  

$40.00

  

Retired Adult Member

  

$25.00

  

Student

  

$15.00

  

 

  

Total

  

Mail Registrations and checks, payable to ASM Southern Connecticut, to:

Jerry Clupper
ASM Southern Connecticut Chapter
5 Timber Lane
Woodbridge, CT 06525-1834
Phone:(203) 387-5121
Fax:(203) 387-5121
E-mail: JerryC@ssicg.com

Phone Reservations (by April 10):

Call Frank at (203) 495-8550, Ext. 5529
or
Call Laura or Linda at (860) 583-3336

And mail checks to Jerry