You may register for E-Waste Update: Complying With EU & China Regulations by:

Calling AeA at: 781.938.1925, x101
E-mailing: Anne Dugan: anne_dugan@aeanet.org  
Fax: 781.938.0091
Mail: AeA New England, 444 Washington Street, Woburn, MA 01801

Please complete and return the following information.

Event Title: E-Waste Update: Complying With EU & China Regulations                                

Event Date: May 12, 2005                                                                                                

Name: _______________________________________________________________________

Title: ________________________________________________________________________

Company: ____________________________________________________________________

Address: _____________________________________________________________________

Phone: _______________ Fax: _______________ E-mail: _____________________________

* IMPORTANT NOTE: For security reasons, Philips Medical Systems has requested that foreign nationals identify themselves in order to gain admittance to their facility, in keeping with their company procedures. If you are a foreign national, please indicate your origin and planned length of stay in the United States. Foreign nationals are encouraged to bring photo identification and proof of residency to be shown at the security desk. If you have questions, please contact Anne Dugan, AeA Program Manager, 781.938.1925, x101 or anne_dugan@aeanet.org.

Foreign National:  Yes        No 
Country of Citizenship: _______________________________________
Planned length of stay in the U.S.: _____________________________ 

Payment Information
Check (payable to AeA)      VISA       MC         AMEX

For security purposes, please do NOT email your credit card information. 

Card Number: _____________________________   Exp date: _____________

Cardholder name: _________________________________________________

This page was last updated on 04/12/05.  
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