ARMED FORCES COMMUNICATIONS

1
ARMED FORCES COMMUNICATIONS ELECTRONICS
ASSOCIATION
New Horizons Symposium 27-28 January
2009 REGISTRATION FORM
Name Company/Organization Address City Telepho
ne E-mail
Name Position Address State Zip Code Fax
MAKE CHECKS PAYABLE TO AFCEA. REGISTRATION
MUST BE COMPLETED BY JANUARY 16, 2009. NO
CANCELLATIONS ACCEPTED AFTER JANUARY 16, 2009.
TELEPHONE REGISTRATION WILL NOT BE ACCEPTED.

• I understand that the contents of the briefings
  are for informational purposes only and may
  represent the views or opinions of the individual
  briefers.
• A portion of the proceeds from the Symposium may
  be allocated to the Lexington-Concord Chapters
  Educational Fund, a not-for-profit, tax exempt
  public charitable fund. A sign up sheet will be
  available at the Symposium Registration desk
  where you can provide an email address should you
  want to know the amount of the registration fee
  that may be allocated for charitable purposes.
• An attendee list will be published and
  distributed to all registrants. The attendee
  list will include name, title, address, and
  telephone number. If you do not want your
  information to be published, please check here.

495 AFCEA Member __________ 540
Non-member 165 Active Duty Military/Government
Civilian
Registration received after 16 January 2009 will
be charged a 50 late fee. Note Fee includes
State of ESC Luncheon
Signature
Date
Four Easy Ways To Register
Payment Amount _______________ Check (made
payable to AFCEA) Credit Card
Online www.afceaboston.com Mail to AFCEA,
Lexington-Concord Chapter c/o Oasis Systems,
Inc. Attention Claire Goulet 81 Hartwell
Avenue Lexington, MA 02421 Fax with credit
card info to 781-676-7353 E-Mail cgoulet_at_oasissys
tems.com
MasterCard
Visa
Amex
Card Number
Exp. Date Name
on Card Signature
For more information and registration questions,
visit our website www.afceaboston.com
or Contact Claire Goulet 781-676-7344
cgoulet_at_oasissystems.com