ISO TC 184 / SC 4 Meeting

Embassy Suites, Miami, Florida - USA, 11-16 November 2012

REGISTRATION FORM

To be returned to: ECCMA, 2980 Linden St, Suite E2, Bethlehem, PA 18017 USA

Fax: +1 610 625 4657 email: conference@eccma.org Phone: +1 610 861 5990

FAMILY NAME (Last name):

FIRST NAME: COMPANY:

ADDRESS:

CITY: STATE: POSTAL CODE:

COUNTRY: PHONE: EMAIL:

FACILITIES FEE
Includes: Sunday reception, Monday through Friday- breakfast, morning break, lunch and afternoon break. (Please Note: breakfast is included as long as you have a guest room at the Embassy Suites)	On or Before Sept. 1, 2012	After Sept. 1, 2012
(Monday – Friday)	$600	$700
$140	$165
(Wed, Nov. 14th, 6 - 8pm) 3 course meal, cocktails, entertainment	$60
*Please note any dietary issues:	TOTAL:	$

NEED TO JOIN OR RENEW U.S. TAG MEMBERSHIP TO TC 184/SC 4? In order to receive copies of committee working documents you need to be a member of your National Technical Advisory Group (TAG) who will register you on ISO Livelink (isotc.iso.org). If you are a USA resident or your company is registered in the USA you can join the U.S. TAG. The membership fee is $1,000 per year. *If you join mid-year your membership fee will be prorated. This is setup specifically for new members or members who have not participated or voted for at least 6 months (see eccma.org/ustag.php).	$1,000*
GRAND TOTAL:	$

PAYMENT

Payable to ECCMA, checks must be in U.S. dollars drawn on a U.S. bank

A $25.00 wire fee will be included in the TOTAL AMOUNT. ECCMA will provide bank information.

Card number: Expiry date:

Cardholder’s name: Signature:

Billing Address (if different from above):