National Oilfield Services & Supply
Industry Credit Group

Fall Meeting
September 21 - 22
, 2010

On-Line Registration Form


Please provide the following contact information:

Name (Last, First)
Guest Name (Last, First)
Company
Street Address
Mailing Address
City
State/Province
Zip/Postal code
Work Phone
FAX
E-mail
NACM Houston Member #

I Plan to Attend:

Tuesday Hospitality
Tuesday Dinner
Wednesday Continental Breakfast
Wednesday Lunch
I am interested in Golf on Tuesday
I am interested in
Shopping on Tuesday

          Special Dietary Needs or Meeting Accommodations:

Yes (please contact Ellen Neuwirth-Hirsch directly with special needs)
No

Conference Registration Fee is $99.

Registration processed only with payment. 

METHOD OF PAYMENT

Check/Money Order is on the way
VISA
MasterCard
American Express
Discover
Bill My Company

Member Rate of $99

Name as it appears on card
Card number
Card Billing Zip Code
Expiration Date Security Code on Card

By checking this box, I authorize NACM Houston to make the above charges to the credit card listed above (this check constitutes your e-signature).

If you would like a confirmation, please print the next page, after you click the Submit Form button above.
 


Last revised: September 01, 2010

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