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pdf brochure - Northwest Mining Association

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NWMA’s 2013 Advanced Discount Registration Form<br />

Return to NWMA by Fax: (509) 623-1241, or mail to NWMA, 10 N. Post St., Ste 305, Spokane, WA 99201-0705, USA.<br />

To quality for Advance Registration Pricing, your completed form must be received by NWMA no later than Sunday November 17, 2013<br />

Name:<br />

Preferred first name for badge<br />

Title:<br />

Organization:<br />

Address:<br />

City: State/Province: Postal Code:<br />

Country:<br />

Phone:<br />

Email:<br />

Spouse Name (complete & check box below for complimentary exhibit hall badge):<br />

Annual Membership Dues - you must join, renew or have a current membership to get discount rates<br />

New Renew<br />

Individual Active m m $ 105<br />

Retired Senior (65 and over & not working) m m $ 25<br />

Full-time University Student (ID required) m m $ 25 Membership Fee<br />

m My membership is current -----<br />

Short Course Registration -(some student discounts available on short courses - contact NWMA)<br />

m Minimizing Permitting Pitfalls & Delays on Federal Lands (2-day course) $ 225<br />

m Standardized Cost Estimator (2-day course) $ 450<br />

m Integrated Exploration Workflows w/ Esri & Geosoft ArcGIS Software (2-day course) $ 450<br />

m Heap Leaching Technology (1-day course) $ 275<br />

m Principles of Mineral & Metallurgical Processing (1-day course) $ 275<br />

m Geophysics for Geologists (1-day course) $ 275<br />

m Shotcrete Underground Support (1-day course) $ 275<br />

m Portable XRF -Principles & Radiation Safety & Case Studies (1-day course) $ 275<br />

m Grass Valley Historic <strong>Mining</strong> District Tour (1-day bus tour) $ 150<br />

m I am a Short Course Chair/Speaker (check course box above) No Fee Short Course Fee<br />

Full Registration (includes technical sessions, exhibit hall & social functions) Member or<br />

US Gov’t Non-Member<br />

m Full Registration $ 300 $ 535<br />

m Retired Senior (65 and over & not working) $ 200 $ 360<br />

m I am a Session or Short Course Chair No Fee No Fee<br />

m I am a Technical Session Speaker * No Fee No Fee<br />

* enter session name:<br />

m Full Time University Student (ID required) No Fee $ 85<br />

m Press Pass (1 per media group) No Fee No Fee Tech Session Reg Fee<br />

Exhibit Hall Only Registration (includes exhibit hall & social functions)<br />

m Exhibit Hall Pass (member/non-member same price) $ 75 $ 75<br />

m Complimentary Spouse Exhibit Hall Pass (spouse will have separate packet) No Fee No Fee Expo Only Fee<br />

Meal and Drink Tickets<br />

m Special food requirements<br />

Quantity $<br />

Wednesday<br />

Welcoming Luncheon (Keynote speaker ~ Perry Pendley, MSLF) @ $45 ea =<br />

Exhibit Hall Sandwich Lunch (walk around lunch) @ $15 ea =<br />

Thursday<br />

Industry Outlook Luncheon (featured speaker luncheon) @ $45 ea =<br />

Exhibit Hall Sandwich Lunch (walk around lunch) @ $15 ea =<br />

drink Tickets (Redeemable at NWMA Exhibit Hall Bars) @ $ 6 ea = Meal & Drink Tickets<br />

TOTAL AMOUNT DUE AND FORM OF PAYMENT Total Amount Due $<br />

Method of Payment: m Check mVisa mMasterCard mAmerican Express mDiscover<br />

m PO (Government Agency)<br />

nwma deposit info only<br />

Credit Card Number<br />

Exp Date Authoriz #<br />

Name as it Appears on Card<br />

Cardholder Signature<br />

Cardholder Email<br />

1st Registration Brochure & Call for Papers<br />

Page 21

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