SuperChems Users Group Meeting Registration Form  

Please complete this response form no later than January 5th, 2009. For meeting details click here.

Complete the online registration form below whether or not you plan to attend the meeting (You can print and fax the registration form here).

To cancel please call or email Vanessa Millette at (603) 893-7009 no later than the Monday January 5th,2009

(Fields containing an asterisk are required).

Register Here  
 Attend Meeting  
 

I plan to attend the SuperChems Users Group meeting on January 12-13 in Houston, Texas: Yes No
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  My name / the name of my company representative is as follows: (PLEASE PRINT)
 

Name:
  *

  Work Phone:
 * 		Work Fax:
 *
  Email Address:
 * 		 
 
 About Your Company  
  Company Name:
 *
  Street Address:
 *
 
City:
 * 		State:
 *

Province:
 

Zip/Postal Code:
 * 		.
  Country:
 *
Meeting Schedule  
   
 
Date Activity Attendance Reserve Lunch
Monday 01/12/09 Emergency Relief Systems Design System
Yes No
Yes No

Tuesday
01/13/09

 Quantitative Risk Analysis/Reactivity Modeling
Yes No
Yes No
 

................................................................................................................................

I will be able to participate in future SuperChems Users Group activities: Yes No

................................................................................................................................
 

My company will participate in future SuperChems Users Group activities: Yes No

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Comments:

     

Contact Vanessa Millette by email with any questions.