DELEGATE REGISTRATION FORM

TRB A1F04 Committee 2000 Summer Meeting
Roosevelt Hotel in New York City, New York
Monday July 17 to Thursday July 20, 2000


Please complete this form, as well as the sign-up sheet and fee schedule, and mail the package with payment made payable to TRB Account to:

William McColl

NYSDOT

State Campus 5-303

Albany, New York 12232

Registration Information:

Name: _______________________________________________________
Nickname: ____________________________
Organization: _________________________________________________
Address:_____________________________________________________
City/State/Country/Zip: __________________________________________
Phone Number: ( ____ )_____________
Fax: ( ____ )_____________
E-mail: _________________________

Registration Fee:

Delegate registration is $175 and includes access to all sessions, handout materials, welcome reception, breaks, technical field trips, and evening social programs, as indicated.

Reminders:

Additional Information:

If you need more information, need clarification, or have questions, please feel free to contact me at:

 

Bill McColl

Tel: (518) 457-2385

Fax: (518) 457-6887

E-mail: wmccoll@gw.dot.state.ny.us




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