Payment Form
2009 Geothermal Workshop Registration Payment Form
Exhibit Fees: |
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10' x 10' |
10' x 20' |
10' x 30' |
10' x 40' |
Special* (per 10’x10’) |
Before |
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GEA Member |
$ 2,250 |
$ 4,200 |
$6,200 |
$ 8,000 |
$ 1,600 |
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Non-Member |
$ 2,650 |
$ 4,850 |
$ 7,050 |
$ 9,050 |
$ 1,600 |
Beginning May 15th |
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$ 2,850 |
$ 5,050 |
$ 7,250 |
$ 9,350 |
$ 1,850 |
Methods of Payment |
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| If you pay by check, please make payable to: Geothermal Energy Association, 209 Pennsylvania Avenue, SE, Washington, DC 20003 | |
Check Number |
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Date |
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Amount $ |
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Wire Transfer |
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| If you need to make a payment via wire transfer, please contact GEA for instructions. A copy of the wire transfer must be submitted with the exhibit application. | |
Credit Card Type (if paying by credit card) |
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Card Number |
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Name as it appears on card |
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Company Name(if Corporate Account) |
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Expiration Date (mm/dd/yy) |
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I authorize the Geothermal Energy Association to charge to the account identified above the amount of $ |
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I prefer a confirmation by e-mail at |
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Please complete this form, print it out, and fax to: (202)454-5265