Who Should Attend?

(Please note that attendance is limited to board members and officers only.)

* Full Name:
* Name (for ID badge):
* Your title:
* Company:
* Business Address:
* City, State & Zip:
* Business Phone:
Business Fax:
* Business Email:
Dietary restrictions:
* How many years have you served as a board member?
* For which nuclear company or companies are you currently a board member?
For which other company or companies are you currently a board member?
For which committees do you serve on or chair?

* Fees and Billing Information

The conference fee of $4,000 is due by June 4, 2010 and includes all event activities, meals, and beverages at event site. Airfare, hotel, and ground transportation are not included.

Wire Transfer (AFTER you receive an invoice please contact Leanne Bokinskie, Associate Director of Finance at 404.727.2049 or lbokins@emory.edu for wire transfer information.)
Please invoice me or my company. Send invoice to:
Name:
Title:
Company:
Address:
City, State & Zip:
Phone #:
Fax #:
Email:

Travel Arrangements

All travel arrangements are to be made by participant. Suggested hotel, airports, and ground transportation will be included in welcome letter upon acceptance into the program.

Cancellation

Cancellations are accepted without charge if written notification is received by July 2, 2010.