Manmade Light at Night - Perils and Promises
Symposium -- March 11, 2010
Printable Registration Form

Pre-registration is required for this symposium, except for current Lewis University students. Registration is free of charge, but payment must be included with it if cafeteria-style lunch is desired (there is no other restaurant service within close proximity to the University).

Pre-registration must be received by March 9, 2010. If you cannot get it to us by then, contact us by e-mail at
info -at- illinoislighting.org
to inquire as to whether there are any remaining availble seats for the event.

This form may be filled in by typing in the blanks provided in this browser window, and then printing via the Print command in your browser File menu, or by the CTRL-P (press Ctrl and P at the same time) keyboard command. Or, you may print it, then fill out by hand, but PLEASE WRITE CLEARLY.

One person per registration form, please. Mail the competed form (with check for lunch, if desired) to:

I.C.R.O.L.
P.O. Box 295
Hinsdale, IL 60522-0295

Make checks payable to I.C.R.O.L. (do not send cash).
Because of pre-payment requirements of the food service, lunch fees are non-refundable.
 
Name 
Organization (if applicable)  
Street  
City   State   Zip  
Telephone  
Purchasing Lunch ($8 per person) Yes
No
Would you like to receive an e-mail confirmation of this registration, and a package of more symposium information? (If so, please list your e-mail address in the blank below.)
Please Confirm & Send Information Package
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Office Use Only:   Received by:__________________________________   Date:______________
Payment - Check:#_________$_________ Confirmation sent:___________