Mill Tour – United States Steel Gary Works
1 No Broadway – Gary, Indiana 46402
Thursday, September 25, 2014 – 8:00 am & 1:00 pm
Thursday, October 16, 2014 – 8:00 am & 1:00 pm
REGISTRATION FORM
$25.00 per person
Registration Deadline: Monday, September 8, 2014
(Maximum 2 employees per company)
Company
Address
City/State/Zip
Name
Pant Size:
Jacket Size:
Shoe Size:
Email
________
________
________
Name
Pant Size:
Jacket Size:
Shoe Size:
Email
________
________
________
Choose Options in order of preference – (Maximum of 10) – First come basis - MSCI will assign second choice if full:
________ Thursday,
________ Thursday,
________ Thursday,
________ Thursday,
September 25, 2014 – 8:00 am
September 25, 2014 – 1:00 pm
October 16, 2014 – 8:00 am
October 16, 2014 – 1:00 pm
A confirmation email from [email protected] will be sent to each registrant confirming their tour time.
Payment Method:
Check Enclosed - payable to the Central States Chapter of MSCI
PLEASE EMAIL OR FAX REGISTRATION FORM PRIOR TO MAILING CHECK TO SECURE YOUR SPOT.
Charge my:
American Express MasterCard Visa
Total to be charged: $
Card Number__________________________________________Exp. Date
_______________ CVV
________________
Name on Card_______________________________________Signature___________________________________
Mail completed form and payment to:
Central States Chapter of MSCI
Department 5947 - Carol Stream, IL 60122-5947
Please do not mail credit card payments to the above address. It’s for checks only.
Fax or e-mail credit card registrations to: 847-485-3001 / [email protected]
Questions? Call Brittany at (847) 485-3021. – MSCI Central States Chapters Dues must be paid to attend this event.