YOU MAY PRINT THIS REGISTRATION FORM AND
MAIL IT ALONG WITH YOUR CHECK OR COMPANY P.O. TO THE ADDRESS BELOW
OR FAX IT TO (610) 758-5959 AND FORWARD YOUR CHECK OR COMPANY P.O.
BY MAIL. (We also accept credit card payments.)
Register on-line.
Please register me for the ERC course,
Fireside Performance Optimization and Emissions
Control with Coal-Fired Boilers
August 14-16, 2012, at Lehigh University in Bethlehem,
Pennsylvania.
My check or company P.O. is enclosed, payable to Lehigh University.
The ERC will invoice your company upon receipt of the P.O.
Name________________________________________Title_________________________________
Organization______________________________________________________________________
Address__________________________________________________________________________
City/State/Zip______________________________________________________________________
Telephone (
....)__________________________Fax ( ....
)_______________________________
Email ____________________________________ URL ____________________________________
Interests _________________________________________________________________________
Return this form and your check or company P.O. to:
Energy Research Center
117 ATLSS Drive
Lehigh University
Bethlehem, PA 18015
Attn.: Jodie Johnson
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