Registration Form

2009 Annual Executive Council Meeting
June 23-25, 2009 

REGISTRATION FORM

Pre-registration for the EFCOG Annual meeting is mandatory.  This form must be completed and submitted by all participants and speakers.  Please take a moment to look at the form and check all items applicable to your attendance.  THERE IS NO REGISTRATION FEE FOR THIS MEETING.

Two Easy Ways to Register
Internet
Complete all information below, then click on Register to submit
Fax
Print copy from printable format, complete information and fax to:
Barbara Pierre (760) 745-1749 

Contact Information

Last Name
First Name
Position/Title
Company Mail Stop
Address
City State Zip
Phone Fax
E-mail
   
Meeting Attendance  (select all that apply)
June 23
8:00 a.m. - 3:00 p.m.		 June 24
8:00 a.m. - 4:45 p.m.		 June 24
 5:00 - 7:00 p.m.		 June 25
 8:00 a.m. - 3:30 p.m.
Working Group Meeting
      		Attendee
 Speaker or Panel Member
 Continental Breakfast
 Luncheon 		EFCOG Reception
      		Attendee
 Speaker or Panel Member
 Continental Breakfast 
 Luncheon      

  • You are welcome to bring additional members of your organization, or other guests.  Please complete and submit a separate registration form for each attendee.

  • An LCD projector and laptop are available for speakers and panelists. All presenters must bring a copy of their presentation on a thumb drive.

  • Copies of all material will be posted on the EFCOG website approximately 2 weeks following the meeting.

  • Registration includes all meeting sessions, continental breakfasts, lunches and the reception.

  • It is important that you indicate if you plan to have lunch on the 24th or 25th as this will ensure that we provide the hotel with an adequate meal count.

Questions regarding the meeting or the registration process can be directed to Barbara Pierre at 760-745-1733 or Linda Embrey at 703-323-8859.

Please mark if you require a special meal:      We will contact you for your specific requirements.