Texas Association of Manufacturers
TEXAS ENERGY SUMMIT REGISTRATION FORM

Energy Summit Reservations

Please print, complete and FAX this form to 512.236.1566. The registration fee is $250 if the form is received by November 10th. Late FAX registration, from November 11th to 14th, will be $350 with payment accepted
at the door.

  I will pay the registration fee by mail. Please make your check payable to "Texas Association of Manufacturers" and mail to "PO Box 11510, Austin, TX 78711."

 I prefer to pay the registration fee by credit card. We will send a PayPal invoice to the email address that you provide below (PayPal account not required).

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First Name                                                                       Last Name

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Job Title                                                                           Employer

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City                                                                                  State                                                  Zip

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Phone                                                 Fax                                                   Email

Hotel Accommodations

To receive the special room rate of $169 plus tax, registrants should contact Houston InterContinenal reservations at 713.627.7600 and indicate that they are attending the Texas Association of Manufacturers' Energy Summit. Availability is limited, so please make your reservation today.

The InterContinental Houston is located at 2222 West Loop South, Houston, TX 77027. For more information about the Intercontinental, please visit http://houston.intercontinental.com.