Registration Form
Hydropower – Operation and Maintenance
International Technical Seminar and Study Tour
October 16-24, 2006
Hydropower Seminar | International Affairs Index
Please return this form to the Bureau of Reclamation, International Affairs - Denver, P.O. Box 25007, Denver, CO 80225, by fax number (303) 445-6322. Registration fee for seminar and study tour is $4000.
Name________________________________________ Passport Number_______________
Title or Position _______________________________ Birthdate______________________
Agency/Organization__________________________________________________________
Office Mailing Address_________________________ City ___________________________ Country_______________________________________
E-mail address__________________Office Telephone________________Fax______________
Home Telephone (for emergencies) ________________________________________________
HOTEL ROOM PREFERENCES: Arrival date ____________ Departure date_______________
____Single____ Double _____ Smoking ____ Non-smoking
If double, Roommate name___________________________
Do you require any special services, i.e. dietary restrictions or accommodations for a disability or impairment? (Please explain your needs)
PAYMENT METHOD: Please note -- Funding is not available from the Bureau of Reclamation. You must seek private sponsorship, if needed. Prepayment must be made by bank check, credit card or wire transfer to the address given below. Please indicate your payment method:
1. _____ Bank Check
2. _____Visa OR _____ MasterCard - Credit Card Number____________________________
Name on the card _____________________________ Expiration Date _______________
3. ______Wire transfer (If paying by wire transfer the seminar cost is US$4025). Please provide the following information to your bank)
1) Bank: Treasury NYC
2) City: New York City
3) ABA: 021030004
4) ALC: 14060905
5) Reference: Bureau of Reclamation International Hydropower Seminar, A1R-1465-0006-001-00-0-0(9)