Attendee Registration Form
IDEA’s 97th Annual Conference & Trade Show
June 11-14, 2006 • Renaissance Nashville Hotel • Nashville, TN
Please use a SEPARATE form for each registrant. No telephone registrations accepted. First time attending? Yes No
Full Name _______________________________________________________________________Nickname for Badge __________________________________________
Title ___________________________________________________Company/Organization ________________________________________________________________
Address __________________________________________________________________________________________________________________________________
City _______________________________________________State or Province _________________________Zip ___________________Country ___________________
Telephone___________________________________Fax___________________________________E-Mail __________________________________________________
Emergency contact___________________________________________________________ Telephone______________________________________________________
Spouses, guests and all accompanying children need to be registered for planning purposes.
Spouse/Guest_______________________________________________________________Nickname _________________________________________________________
Children (Names and Ages) _____________________________________________________________________________________________________________________
If you or your spouse/guest have any special needs, please let us know. _______________________________________________________________________________
On or Before
May 12
USD $910
$1,215
$695
$300
$130
$655
$730
$440
Registration Fees
IDEA Members
Non-Member
Government/Military (must have ID)
Spouse/Guest (no technical program)
Children (under 5 free; over 16 spouse/guest rate)
Technical-Only/Member
Technical-Only/Non-Member
Technical-Only/One Day-Member
Which day will you attend?
Monday or Tuesday
Technical-Only/One Day Non-Member $530
Which day will you attend?
Monday or Tuesday
Exhibit-Only One Day $50
After
May 12
USD $980
$1,285
$765
$325
$150
$715
$795
$485
Amount
$____________
$____________
$____________
$____________
$____________
$____________
$____________
$____________
BE SURE TO COMPLETE the following to validate
your registration.
Conference Registrant (no extra fee, but indicate if plan to attend)
Sunday’s dinner at Wildhorse Saloon? Yes No
Tuesday evening’s Chair’s Banquet? Yes No
Wednesday morning’s technical tours? Yes No
Wednesday morning’s tour of Perma-Pipe? Yes No
$575
$____________
_____ (no. attending)
_____ (no. attending)
_____ (no. attending)
_____ (not children)
$50
$____________
Optional Events for Conference Registrant (extra fee)
Pre-Conference Workshop:
Private Public Partnerships
Sunday a.m. Golf Tournament
(Fee includes roundtrip transportation,
breakfast, cart, green fees and lunch.)
Golf Handicap ______________ (max. allowed 36)
Sunday Music City USA Tour $45
(Included in spouse/guest registration)
Spouses/Guests/Children (no extra fee if registered, but indicate if
plan to attend)
Sunday’s Music City USA Tour?
Sunday’s dinner at Wildhorse Saloon?
Monday’s Mansions of the South?
Tuesday evening’s Chair’s Banquet?
Cancellation Policy
Conference registrations cancelled on or before May 12, 2006, are
entitled to a full refund less a $75 processing fee. Cancellations after
May 12 and on or before May 26 are entitled to a 75 percent refund.
Any cancellations after May 26 are non-refundable.
$50
$160
$55
$175
$____________
$____________
$55
$____________
Total Amount Due
Return this completed form with your payment to:
International District Energy Association
125 Turnpike Road, Suite 4
Westborough, MA 01581-2841 USA
Questions? Call (508) 366-9339
fax (508) 366-0019, email idea@districtenergy.org
OR
Register online at IDEA’s Web site: www.districtenergy.org
$____________
PAYMENT MUST ACCOMPANY REGISTRATION FORM. PLEASE PRINT LEGIBLY.
Method of payment: Check Visa Mastercard AMEX
Account Number: ______________________________________________________________________
Expiration Date: ________________________________________________________________________
Name as appears on card: _______________________________________________________________
Cardholder’s signature: __________________________________________________________
Please fax to (508) 366-0019
FOR IDEA OFFICE USE ONLY
Make checks
payable to
IDEA, or use
your major
credit card.
Check #___________Check Date____________
Check/CC Amount $_____________________
Code____________________________________