DIRECTED ENERGY PROFESSIONAL SOCIETY High Energy Laser Weapon Systems Short Course Registration 12 September - 23 October 2011 Distance Learning Offering Thank you for your support of DEPS activities. This form permits you to register for the High Energy Laser Weapon Systems Short Course to be offered via distance learning, available online from 12 September through 23 October 2011. Multiple forms of payment are offered, including using our secure server to pay on-line at this time. Asterisks note the fields required by DEPS to process your registration.     Registrant's Personal Information * First & Last Name:    Title (Dr., Ms., Major, etc.):    Name for badge: * Organization:   * Address: * City: * State: * Zip code:   * Phone: * E-mail: * E-mail (confirm):   To reduce errors, we ask that you enter your email a second time.      Cell Phone:    Alternate E-mail:   Note: Use the Alternate Email field if you wish to have confirmation emails sent to a secondary address such as administrative personnel. This does not include the credit card receipt for on-line payment, sent only to the primary email address.     Please check here if you require special assistance     Course Fee: $1295   Payment *     Submit credit card payment at this time using our secure server     Send payment to DEPS   Cancellation Notice Persons requesting cancellation through 22 August will receive a full refund. Cancellations after 22 August are subject to a $100 cancellation fee. No refunds will be given after 11 September. 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 2011 Directed Energy Professional Society   DHTML/JavaScript Menus by OpenCube

Last updated: 16 July 2011