order of the engineer - acec order of eng reg form... · price includes one ring and a certificate...
TRANSCRIPT
Order of the Engineer REGISTRATION AND ORDER FORM
Name: _______________________________________________________________________________ Address: _____________________________________________________________________________ City: ________________________________________ State: ____________ Zip Code: ______________ Telephone: ___________________________________________________________________________ E-Mail: ______________________________________________________________________________
ACEC 2018 Fall Conference Las Vegas, Nevada
METHOD OF PAYMENT: ____ Check (payable to ACEC) ___ MasterCard ___ Visa ___ American Express ___ Discover
Credit Card #: ______________________________________ Exp. Date: ______________ CVV#:_____
Name of Cardholder: ___________________________________________________________________
Authorized Signature: __________________________________________________________________ Further information is available by contacting: Daisy Nappier [email protected] Phone: 202-347-7474
ITEM QTY SIZE PRICE TOTAL
MEMBERSHIP & RING Indicate Quantity and Ring Size Price includes one ring and a certificate The tradition is that the ring is worn on the little finger of the working hand
$35.00
Please return form to Daisy Nappier by fax or email. [email protected] Fax: 202-898-0068