DIRECTED ENERGY PROFESSIONAL SOCIETY Annual Directed Energy Symposium Hospitality Suite Application 26-30 November 2012 Albuquerque, New Mexico Thank you for your support of DEPS activities. This form should be used to request a hospitality suite at the 15th Annual Directed Energy Symposium to be held 26-30 November 2012 in Albuquerque, New Mexico. Multiple methods of payment are offered, including using our secure server to pay on-line at this time. Hospitality suites will be available at the Hyatt Regency Albuquerque. A suite must be purchased for the entire time (i.e., Monday - Thursday nights) and runs $1500 for the four nights. This price does not include phone, food or any other services provided by the hotel. Asterisks note the fields required by DEPS to process your request.     Contact Information * First & Last Name:    Title: * Company Name: * Address: * City: * State: * Zip code:    Country: * Phone: * E-mail: * E-mail (confirm):   To reduce errors, we ask that you enter your email a second time.       * Payment Information    Fee: $1500       Submit credit card payment at this time using our secure server     Send payment to DEPS   Cancellation Notice Persons requesting cancellation through 29 October will receive a full refund. Cancellations after 29 October are subject to a $200 cancellation fee. No refunds will be given after 12 November. Once you have completed the fields on this form, press the Submit button to process this information. You will be given a chance to review your registration prior to final submission. The Reset button will clear the entire form.         Copyright 2012 Directed Energy Professional Society   DHTML/JavaScript Menus by OpenCube

Last updated: 27 January 2012