BEST PRACTICES IN MANAGING INDUSTRIAL ENGINEERING REGISTRATION FORM


Monday, November 7, 2011 | Crowne Plaza Chicago O’Hare | Chicago, IL THROUGH NOVEMBER 3


IIE MEMBER NON-MEMBER STUDENT MEMBER STUDENT NON-MEMBER


A team discount does not apply.


REGISTER ONLINE AND SAVE TIME www.iienet.org/ManagingIE


Please complete: Mr.


Mrs. Ms.


Last/Surname First: Preferred first name on badge: Title: Company: Address: City:


Country: Please check one: Phone:


Company address Fax:


E-mail: Yes, I require special assistance services. E-mail your request to cs@iienet.org.


Method of Payment: (Conference fees are due in full at registration in U.S. currency only.) Check – made payable to IIE


A check for $


Credit card – Please charge $ Visa


MasterCard Credit card #


Signature: Name of cardholder (print):


Cancellations and Substitutions: Cancellations must be made in writing and faxed to (770) 263-8532 or mailed to IIE, 3577 Parkway Lane, Suite 200, Norcross, GA 30092. See website for deadline for refund. Contact customer service at cs@iienet.org or (770) 449-0460x102 or (800) 494-0460.


is enclosed. Check # to my: American Express Exp. Date: Dr.


$249 $399 $49 $99


ON-SITE AFTER NOVEMBER 3


$399 $549 $49 $99


State/Prov Zip: Home address


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