The Society of Women Engineers
Chicago Regional Section Presents

March 23, 2002

Please do not register using this form. Bravenet, our form mail provider is experiencing technical difficulties and that is affecting our website registration. To register, please include all information asked for below in an email message and send it to swechicago@yahoo.com. Thank you for understanding!

Thank you for registering for the PD Conference. Please remember that registration is a financial commitment. If you register but find you cannot make the conference, you must cancel by March 16th to avoid being billed. To cancel, send a message to swechicago@yahoo.com. Checks should be made payable to "SWE Chicago" and should be brought with you to the conference.

Each participant will receive a receipt at the conference. Also, please note that we cannot accept credit cards.

Please have your membership number handy when RSVPing.

Required Information

First & Last Name:

Company:

Address:

City, State, Zip:
,     
Phone number:

Email address:


Membership Status:
Member
Non-Member
Student Member
Student Non-Member

Membership Number: (Although this field is not required, it would greatly help the PD Conference committee. Please note that if one is not supplied, your membership will be verified with a member listing.)


Optional Information

Would you like SWE Chicago membership information?
Yes
No

Mailing address:

City:

State:

Zip code:

Additional Comments: