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ICB0 74th Annual Conference <br /> Conference Registration Form n <br /> Saint Paul, Minnesota • Sunday, September 8—Friday, September 13, 1996 \\ <br /> Please complete this form and send with fee to ICBO headquarters as soon as possible. <br /> i International' Conference of Building Officials <br /> 5360 Workman Mill Road, Whittier, CA 90601 -2298 • (310) 699 -0541 <br /> Registration fee 25.00 <br /> AA�k 4" Registration fee after August 1, 1996 $355.00 <br /> Companion's registration fee $225.00 <br /> Companion's registration fee after August 1, 1996 $255.00 <br /> J. <br /> Please complete the following exactly as you wish it to appear on your badge: <br /> Name Name to appear on badge <br /> U nc,ne u onwm"]m k Wdgo wiu„a. M innoi) <br /> Title <br /> Jurisdiction /company <br /> ? Business address <br /> �` 1 Svcs City <br /> i Telephone No. ( ) <br /> scot lip Cods <br /> Home address or roster) <br /> E $¢ea <br /> z <br /> 0, sou Zp Code <br /> L' Companion's time Name to appear on badge <br /> a (if attending) <br /> Is this your first ICBO Conference? Yes ❑ No ❑ Is this your companion's first ICBO Conference? Yes ❑ No ❑ <br /> NOTICE: If you or your companion require special accommodations to fully participate, please attach a written description of <br /> your needs. <br /> d <br /> e Method of payment. NOTE: Please do not combine payment with other ICBO invoices. <br /> ' ❑ Purchase Order No. <br /> Total Amount $ <br /> Check or money order <br /> r "§� ❑ ry (From Activities Registration Form) <br /> ❑ MasterCard ❑ VISA ❑ American Express ❑ Discover <br /> Card No. <br /> s t Name as it appears on card Exp. date (required): <br /> �Y <br /> PLEASE NOTE: Registration feu include all functions listed in the program except the special preconference events, sports activities <br /> y and the fellowship breakfast, which have a separate registration form. Fees must be postmarked by August 1, 1996, to obtain the early <br /> Js, registration discount. <br /> n z h`y REFUND POLICY: If the request for a registration fee refund is received at ICBO headquarters at least two weeks before the confer- <br /> ence, 100 percent of the &e will be refunded. <br /> If the request for a refund is received at ICBO headquarters five days before the conference, 50 percent of the fee will be refunded. <br /> No fees will be refunded if the request is received within five days of the conference. <br /> L "....._.__. . <br />