2003 Seminar
Registration
Form

Registration Form For The Next Seminars, 2003

Please provide the following contact information:

Name
Company
Street Address
Address (cont.)
City
State
Zip Code
Phone
FAX
E-mail Address

Please check the following Seminar(s):

Seminar I
System Reliability Management

September 17-19, 2003....................$1000
(2.0 CEU and 20 PDH)
Friday Golf Outing.......................$90

Click for Agenda and Description

Seminar II
Power System Asset Management
September 22-24, 2003.....................$1000
(2.0 CEU and 20 PDH)

Click for Agenda and Description

For more information, please contact Jane Fortune at CVEC 1-434-263-8336 / jfortune@forcvec.com

Check
Visa
M/C
Amex
Check #
Card #
Exp. Date

Applicant Signature for mailing:__________________________________________________

This form can be filled out on-line, when finished either click on submit or print and mail the form to Ceva at:

Ceva Seminars; Attn: Jane Fortune; P.O. Box 247; Lovingston, VA 22949

By clicking on Submit you are doing the same as signing this form.

DO NOT forget to print a copy of this form for yourself! (home)