No. Falmouth, Massachusetts - April 21-25, 1996
Last Name_________________________First Name______________MI________ Organization_____________________________________Speaker_____Y_____N Mailing Address_____________________________________________________ City____________________________________State_______________________ Telephone _________________ Fax______________ E-Mail________________ Spouse/Guest Name (if applicable)___________________________________ ANS Non Member Member Amount TECHNICAL REGISTRATION Full Meeting $325 $375 _____ (incl. reception, daily lunch, banquet) One Day (Circle One: Mo, Tu, We, Th) $180 $215 _____ ANS Student Member (technical sessions only) N/C Late Registration Fee if postmarked after 3/20/96 $ 50 WORKSHOPS DORT/TORT (minimum 40 participants) - April 21st $ 95 _____ FLUKA (minimum 10 participants) - April 21st $150 _____ SPOUSE/GUEST PROGRAM Spouse/Guest Registration $ 50 _____ (includes reception & daily Continental Breakfast) Spouse/Guest Banquet $ 45 _____ Plimouth Plantation-4/22/96 (no lunch) $ 35 _____ Cape Cod Tour & Pilgrim Museum-4/23/96 (no lunch) $ 25 _____ Tour of Sandwich - 4/24/96 (lunch @ Daniel Webster Inn) $ 30 _____ Spouse/Guest Special - Registration/All Events $175 _____ TOTAL $ _____ Total payment in U.S. dollars (drawn on a U.S. Bank) enclosed*. Cancellation notices received after April 1, 1996 will be assessed a $25.00 charge. Substitutions are permitted. *No credit cards or company purchase orders accepted. Please return Registration Form with your check payable to 1996 Topical to: Ms. Maryellen Skerry Yankee Atomic Electric Company 580 Main Street Bolton, MA 01740 Phone (508) 568-2235 * Fax (508) 568-3700 ****************************************************************************
April 21-25, 1996 Please print. Mail to: Sea Crest Resort and Conference Center 350 Quaker Road, No. Falmouth, MA 02556 (508) 540-9400 Arrival Day & Date _____________ Departure Day & Date _____________ Single Occupancy _____ Double Occupancy_____ Single or Double Occupancy - $77.89 per room per night inclusive Triple Occupancy - $86.86 per room per night inclusive Quad Occupancy - $99.83 per room per night inclusive Please Note: Check in time is 3:00 p.m. Check out time is by 11:00 a.m. Name____________________________Street______________________________________ City ___________________________State__________Zip______Country_____________ Phone (_____)__________________________ Today's Date _______/_______/_______ Please process required room deposit on my credit card:___MC___VISA___AMEX Credit Card Number______________________________ Expiration Date___________ Name as it appears on credit card__________________________________________ This form must be received at Sea Crest by Wednesday, March 20, 1996, with your check for $71.00 per room, made payable to the Sea Crest or fax with credit card information to (508) 540-7602. If you cancel eight days or more prior to arrival, your deposit will be returned to you less $10.00 processing fee. If you cancel seven days or less prior to arrival, or if you do not arrive on the specified date, your deposit is forfeited and reservation canceled for remaining nights. **************************************************************************** ************************************* R. J. Cacciapouti Yankee Atomic Electric Co. 580 Main Street Bolton, MA 01740 Phone: (508) 568-2140 Fax: (508) 568-3700 e-mail: cacciapo@yankee.com *************************************