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ASSIST Annual Convention 2002 October 3 - 4 - 5 � Holiday Inn NASA � Houston, Texas Cancellation Policy:
Refunds, less a $30 processing fee per person, will be granted if
requested in writing and received prior I have read the Cancellation Policy and wish to attend the ASSIST 2002 Annual Convention: Name __________________________________________________________________________________________________ Company Name __________________________________________________________________________________________ Address _________________________________________________________________________________________________ City, State, Zip ___________________________________________________________________________________________ Phone ____________________________ Fax _____________________________ E-mail ______________________________ Spouse/Guest Name _______________________________________________________________________________________ Fee Enclosed: (Important: All registration forms must be received by September 28, 2002). ______ $175 ASSIST Member or $200 Non-member ______ * Mark Yes or No to indicate your plan to attend the Friday Night Dinner Cruise (*Fee is included in registration) ______ $ 80 Spouse/Guest (Those wishing to attend speaker functions for CE Credit should register as member or non-member) ______ * Mark Yes or No to indicate your plan to attend the Friday Night Dinner Cruise (*Fee is included in registration) ______ $150 Regular 2002 Voting Membership Dues (if not yet paid) ______ $ 65 Golf Tournament (Thursday, October 3) ______ $ 15 Per Child - Children's NASA Trip (1st Child attends free - each additional child $15) $_________ Total Enclosed ( ) I cannot attend, but would like to receive ASSIST Membership Information. Make checks payable to: Houston ASSIST - P.O. Box 27321 - Houston, TX 77227 For Information, Call: Convention - Ann Ball (713) 526-7171 Registration - Phyllis Grimes (713) 724-3515 |