Registration Form
National Industrial Scale Association
Technical Conference
NAME: ________________________________________________________
COMPANY: ________________________________________________________
ADDRESS: ________________________________________________________
CITY: ___________________________STATE:_________ZIP:__________
Registration
NISA and AREMA Members $ 80.00 USD
Non-Members (Includes 2004 Membership) $145.00 USD
Non-Members $135.00 USD
Technical Publication Sponsor $100.00 USD
Check Enclosed _____________ Will Pay at Meeting   _____________
Please print this form, provide requested information and mail to:
National Industrial Scale Association
1932 Industrial Drive
Libertyville, IL           60048
Questions: Bill Barbera
NISA@SystemsAssoc.com
847-367-6650 x 155 Fax: 847-367-6960
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