DIRECTED ENERGY PROFESSIONAL SOCIETY Directed Energy Systems Symposium Hospitality Suite Application 2-5 April 2012 Gaithersburg, Maryland Thank you for your support of DEPS activities. This form should be used to request a hospitality suite at the Directed Energy Systems Symposium to be held 2-5 April 2012 in Gaithersburg, Maryland. 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 Hilton Gaithersburg. 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 5 March will receive a full refund. Cancellations after 5 March are subject to a $200 cancellation fee. No refunds will be given after 19 March. 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: 6 February 2012