ASM Milwaukee Chapter Event Registration



ASM Milwaukee Chapter 51st Bergmann: 21st Century Welding in the Mining Industry

12:00 p.m. on Tuesday \| April 21, 2009 - at - Klemmers Banquet Center (10401 W. Oklahoma Ave.)




Main Contact Information: (Items indicated with "*" are required.)

*Name:**

*Company:**

*Email Address:**

*Phone:**

Comments:



Registrant Information: (Complete for all registrants and include yourself if you are attending this event.)

*First Name:**		*Last Name:**

*Email Address:**

*Select Option:**	$35 - Dinner only
	$175 - ASM/AWS/AFS Member or ASM Sustaining Member Employee
	$200 - Nonmember
	$50 - Student/Retiree/Member Between Jobs
	$200 - Corporate Vendor (includes complete program/dinner)

*Organization Affiliation:**	ASM Milwaukee AFS Wisconsin AWS Milwaukee

Registrants:




		DO NOT hit the "back" button after selecting "Registration Complete". If you need to make changes, please contact us.