2016 SAFETY AWARENESS FORUM
ECNE Employee Safety & Utility Operations Committee Presents:
2016 SAFETY AWARENESS FORUM FOR OVERHEAD, UNDERGROUND, GAS & SUBSTATION WORKERS
Southbridge Hotel & Conference Center, 14 Mechanic St., Southbridge, MA 01550 March 24, 2016 REGISTRATION FORM Company Name: Address: Supervisor’s Name and Email:
REGISTRATION FEES: ECNE Members: Leaders & Recorders:
$190.00 $85.00
Non-Members:
LEADER OR RECORDER
UNION
GAS
Leaders & Recorders: Volunteers to help guide the forum and encourage participation. Leaders & Recorders receive a reduced registration fee. Contact ECNE for more information.
SUBSTATION
This helps ECNE ensure a mix of attendees for each breakout session.
OVERHEAD
Please list the name and email address for each attendee, and indicate which group each attendee plans to participate in.
UNDERGROUND
ATTENDEE(S):
$245.00
Unsure of your registration fee? Contact ECNE at (603) 626-4602 or refer to the program brochure. CANCELLATION POLICY: Cancellations are accepted until Thursday, March 10th. Substitutions may be made at any time. PAYMENT INFORMATION: Please invoice to: Payment enclosed (make checks payable to the Energy Council of the Northeast). To be compliant with Massachusetts Data Breach Law, we can no longer accept credit card information by fax or email. To pay by credit card, please register online or call the office to process a credit card over the phone. If you need assistance with online registration, please contact ECNE. Please complete and return this form by March 10th to: Email: [email protected] Mail: Energy Council of the Northeast P. O. Box 1029 Windham, NH 03087
Fax: (603) 626-4605
DISCUSSION TOPICS: The most productive safety forums focus on recent challenges and situations. Please submit your discussion topics to [email protected] by Monday, March 21st. ENERGY COUNCIL OF THE NORTHEAST + P. O. BOX 1029; WINDHAM NH 03087 ' (603) 626-4602 :
WWW.ECNE.ORG
2016 SAFETY AWARENESS FORUM FOR OVERHEAD, UNDERGROUND, GAS & SUBSTATION WORKERS
Southbridge Hotel & Conference Center, 14 Mechanic St., Southbridge, MA 01550 March 24, 2016 REGISTRATION FORM Company Name: Address: Supervisor’s Name and Email:
REGISTRATION FEES: ECNE Members: Leaders & Recorders:
$190.00 $85.00
Non-Members:
LEADER OR RECORDER
UNION
GAS
Leaders & Recorders: Volunteers to help guide the forum and encourage participation. Leaders & Recorders receive a reduced registration fee. Contact ECNE for more information.
SUBSTATION
This helps ECNE ensure a mix of attendees for each breakout session.
OVERHEAD
Please list the name and email address for each attendee, and indicate which group each attendee plans to participate in.
UNDERGROUND
ATTENDEE(S):
$245.00
Unsure of your registration fee? Contact ECNE at (603) 626-4602 or refer to the program brochure. CANCELLATION POLICY: Cancellations are accepted until Thursday, March 10th. Substitutions may be made at any time. PAYMENT INFORMATION: Please invoice to: Payment enclosed (make checks payable to the Energy Council of the Northeast). To be compliant with Massachusetts Data Breach Law, we can no longer accept credit card information by fax or email. To pay by credit card, please register online or call the office to process a credit card over the phone. If you need assistance with online registration, please contact ECNE. Please complete and return this form by March 10th to: Email: [email protected] Mail: Energy Council of the Northeast P. O. Box 1029 Windham, NH 03087
Fax: (603) 626-4605
DISCUSSION TOPICS: The most productive safety forums focus on recent challenges and situations. Please submit your discussion topics to [email protected] by Monday, March 21st. ENERGY COUNCIL OF THE NORTHEAST + P. O. BOX 1029; WINDHAM NH 03087 ' (603) 626-4602 :
WWW.ECNE.ORG
