Dear Customer: Your inquiry about electric and magnetic fields is ...

EMF Research & Education
Name:
Please mail or fax REGISTRATION FORM to:
Edison CTAC 6090Call: (800) 200-4723
6090 N. Irwindale Avenue Fax: (626) 812-7530
Irwindale, CA 91702
Attn. EMF Research and Education
Affiliation:
Title:
Address:
EMF Education Workshop Reservation Request
Phone: Fax:
Available General Workshops at the EMF Education Center,
Located at 6090 N. Irwindale Avenue, Irwindale, CA 91702
January 11, 2012 – Event #: 30554
April 11, 2012 – Event #: 30555
July 11, 2012 – Event #: 30556
October 10, 2012 – Event #: 30557
1st choice _______________
My preferred date is: 2nd choice _______________
3rd choice _______________
Workshop begins at 9:00 am – 2:00 pm
Others from your organization that will attend with you:
Name Title
Name Title
Attendance is limited. Requests are accepted in the order they are received. A fax, E-mail or phone call
will be returned to confirm your registration.
o I am unable to visit the EMF Education Center and would like to have an EMF Specialist call me to
arrange for a presentation at my location.