Sustainable Energy Seminar Tuesday, October 20, 2015 – Eagle Eye Banquet Facility - East Lansing, MI Email this registration to , fax to (517) 641-7388, or mail to P.O. Box 397 Bath, MI 48808 Name: Employer: Address: City, State, Zip: Email: Phone: (Registration confirmations are sent via email only.)   I want WW CECs I want DW CECs; DW license number: Meal Preference:   Regular Other Registration Options:  MWEA/WEF Member - $125, Membership #  Non-member - $190 (Want a FREE membership? See below)  Check this box to receive a one-year complimentary MWEA membership with the non-member rate Payment Options: Send me an invoice Purchase order (if applicable): Check Enclosed $ (payable to MWEA) Charge $ Visa MasterCard AMEX    Billing Address: City, State, Zip Code: Card Number: Expiration Date: Signature:
Sustainable Energy Seminar – Tuesday, October 20, 2015 Eagle Eye Banquet Facility - East Lansing, MI Email this registration to , fax to (517) 641-7388, or mail to P.O. Box 397 Bath, MI 48808 Name: Employer: Address: City, State, Zip: Email: Phone: (Registration confirmations are sent via email only.)  I want WW CECs  I want DW CECs; DW license number: Meal Preference:  Regular  Other Registration Options:  MWEA/WEF Member - $125, Membership #  Non-member - $190 (Want a FREE membership? See below)  Check this box to receive a one-year complimentary MWEA membership with the non-member rate Payment Options: Send me an invoice Purchase order (if applicable): Check Enclosed $ (payable to MWEA) Charge $  Visa  MasterCard  AMEX Billing Address: City, State, Zip Code: Card Number: Expiration Date: Signature:
Sustainable%20Energy%20Registration%20form.docx