Applied Ergonomics Conference Registration

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applied ergonomics conference and expo 2011 registration form pre-conference workshops - March 21

Registration Fees full conference*

by jan. 14

after jan. 14

On-site after march 11

$595

$695

$1,075

* Fee includes $100 discount thanks to CRC Press. Registration fee does not include hotel accommodations.

8 a.m. – NOON

Preparing forwww.shsweb.org/conference the Certified $225 Professional Ergonomist Exam

8 a.m. – Noon

Ergo 101: The Basics of Ergonomics

$25

8 a.m. – Noon

Lessons Learned in the Trenches: Applying Ergonomics in a Manufacturing Environment

$225

1 p.m. – 5 p. m.

Balancing Work Requirements and Employee Capacity in Demanding Environments

$225

1 p.m. – 5 p. m.

Application of New Ergonomic Tools and Methods to the Lean, Ergonomics & Six Sigma Process

$225

tuesday, march 22, 7:15 a.m. – 7:45 a.m. Yes, I plan to attend the Orientation for First-Time Conference Attendees

Roundtable Discussions- FREE

Advanced registration is recommended. Sessions limited to 30 people each.

FREE

thursday, march 24, 11:30 a.m. – 1 p.m.

Check one per time slot.

Yes, I plan to attend the Luncheon, Ergo Cup® Competition, and Awards

March 21, 2 p.m. – 3:30 p.m.

FREE

Tuesday, March 22, 4 p.m. & Wednesday, March 23, 1 p.m.

Aging workforce

Yes, I plan to be a contestant or spectator in the Ergo Quiz Bowl Contest

march 22, 8 a.m. – 9:30 a.m. Hot Spots in Healthcare ergo March 22, 1:30 p.m. – 3 p.m. Driving ergonomics in purchasing/equipment-buying decisions March 23, 8 a.m. – 9:30 a.m. A True Roundtable discussion Ergonomics Regulation Discussion March 24, 8 a.m. – 9:30 a.m. Dynamometers and force gauges (Workshop) Multicultural issues in ergo

Please complete: Mr. Mrs. Ms.

Dr.

Last/Surname First: Preferred first name on badge: Title: Company: Address: City: State/Prov Zip: Country: Please check one:

Company address

E-mail: Yes, I require special assistance services. E-mail your request to cs@iienet.org.

Method of Payment: (Conference fees are due in full at registration in U.S. currency only.)

Check – made payable to IIE

A check for $

Credit card – Please charge $

Visa

MasterCard

is enclosed. Check #

to my:

American Express

Credit card # Complete registration form and fax to (770) 441-3295 or mail to IIE/AEC, 3577 Parkway Lane, Suite 200, Norcross, GA 30092

Home address

Phone: Fax:

presents

FREE

Exp. Date:

Signature: Name of cardholder (print): Cancellations and Substitutions: Cancellations must be made in writing and faxed to (770) 441-3295 or mailed to IIE, 3577 Parkway Lane, Suite 200, Norcross, GA 30092. See website for deadline for refund. Contact customer service at cs@iienet.org or (770) 449-0460x102 or (800) 494-0460.


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