2010 Ohio Traffic Engineering & Highway Safety Conference

             Conference Registration Form    

         $135 per person includes sessions-both days, trade show, breaks, continental breakfast and reception

July 28 - 29, 2010


Please use the "Tab" key or mouse when moving from field to field.  Pressing the "Enter" key will automatically submit the form.

Please provide the following organization information:

Name of Organization
Contact Person
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
FAX
E-mail

           

Please provide the following attendant information (include P.E. or P.S. after each name, if applicable):

Name
Title
E-mail
Name2
Title2
E-mail2
Name3
Title3
E-mail3

Please print this form for your records prior to hitting the "Submit Form" button.  Once this form is received by the CEAO office, an invoice for the conference fee will be mailed to you.  If you have any questions, please contact Dee Bickers, CEAO Conference Coordinator, at (614) 221-0707 or dbickers@ceao.org.

Hotel Accommodations:  Contact the Crowne Plaza North Hotel at 614/885-1885 for overnight sleeping rooms by July 6, 2010 to receive the group rate of $104 per night (single/double).

Conference Registration:  $135 per person

Program:  Updates will be posted on the CEAO website as they become available or you may call the CEAO office at 614/221-0707 if you have any questions or would like additional information.

Cancellation Policy:  Refund of conference registration, less an administrative fee of $25 will be made if cancellation is necessary.  Full registration will be charged if not notified at least 5 days prior to Conference.