Final Program
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SEPTEMBER 27-29
Powertrain Symposium
EXPOSITION REGISTRATION
     
 

Please print form out and fax it in.
Fax number 734-944-5840

 * Required Fields
*Contact Me: By E-mail
By Phone
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Other:
*Salutation: Mr.
Mrs.
Ms.
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*Name:
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*Address:
Mail Code/ CIMS/ Suite/ P.O. Box/ Etc
*City:
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*Zip:

*Country:
*Phone:
Fax:
*E-mail:
I will attend lunches on:

September 27  September 28 
September 29
Lunch tickets are $35 each.
Include tickets at a total cost of: $
*Exposition Registration Fee
Registration is FREE before August 18, 2005. Registration Fee is $45 after August 18, 2005.
* Order Total:  $
 
 

 Payment by Check

Make all checks payable to:
Global Powertrain Congress
166 South Industrial
Saline, MI 48176

 Payment by Fax

Please fill out all forms and fax credit card information along with a printout of this page to GPC at: (734) 944-5840.

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