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Online H-TUF National Meeting Registration

November 14-16, 2006
San Diego, California

Please complete the following form and return. If you do not want to make purchases online,
please contact us at 626/744-5600. Thank you!


Required fields are marked with a*

*First Name:
*Last Name:

*Title:
*Company/Organization:
*Street Address:
*City:
*State:
*Zip Code:
-
*Phone Number:
- -
Fax Number:
- -
*E-mail:

I am a:

Will you be attending the hosted Dinner on Wednesday, November 15th, 2006?

Will you be attending the Ride and Drive on Thursday, November 16th, 2006?

Will you like to participate in a tour of the ISE facility on Thursday, November 16th, 2006?

Early Registraion: is $150.00 for ALL if received on or before October 20, 2006
Late Registration: is $200.00 for fleets and $250.00 for all others, if received after October 20, 2006


Method of Payment
Check
Credit Card

Payment Information
How would you like to pay? Choose one of the following:

Visa.
MasterCard.
American Express.
Check (to be mailed).

Please make checks payable to WestStart–CALSTART and mail with your application to:
Weststart- CALSTART, Att: H-TUF 48 South Chester Ave., Pasadena, CA 91106, or fill out the credit card information below.

*Name on Credit card:

*Credit card number:

*Expiration Date: (MMYY)

* Billing Address


For more information on WestStart – CALSTART’s other Services/Programs,
please contact (626) 744-5600; Fax: (626) 744-5610 ; email calstart@calstart.org.


©Copyright 2008 CALSTART, Inc. All Rights Reserved.