Conference Onsite Registration Form

Attach your Business Card and Skip Filling Out Your Contact InformationRegistrant’s Name: Company Name: Title: Street Address: City: State: Zip/Postal Code: Country: *E-mail Address: Telephone: Cell Phone (Where you can be reached today):Fax: *Providing your e-mail address to us indicates that you may be interested in receiving future e-mail promotions about other Webcom Events. r Check to opt-out. Which Conference are You Attending? r Battery Power r Advancements in Thermal Management r Two Day Pass: $1,095 r Expo Only Pass: Free r Other: $___________ Workshopsr LabelMaster/Li Shipping: $195 r Texas Instruments/Wireless Power: $125r Battery Design/Battery Tutorial: $495 Payment Typer American Express r Visa r MasterCard r Exact Cash r Check/Money Order (made payable to Webcom Communications Corp.)Card Number: Expiration Date: Card Holders Name (please print): Signature of Card Holder: Conference Onsite Registration