Please provide the following contact information. Items in red are required fields:

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Are you an SCTE member? Yes No (Not Yet)

Which day(s) do you plan to attend? (Please check all that apply.)
May 21, Wednesday May 22, Thursday May 23-24, Friday-Saturday - Talkeetna Trekker Denali Rail Tour

Would you like to win a Flat Screen TV just for
coming to the Show? Yes No

Would you like us to contact you regarding transportation to Anchorage
for the show? Yes No

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Engineer Registration / Payment: Attendees may pre-register and prepay by completing this e-form or mailing the Registration Form and registration fee by May 1 to our official registrar: Viking Travel, Inc., 101 N. Nordic, Box 787, Petersburg, AK 99833-0787. Attendees may also pre-register by faxing the completed registration form to 907-772-3940 and pay the entry fee at the show entrance either day. All attendees must check-in upon arrival and pick up their name badge and door prize tickets. Name badge must be worn to gain access to all the Tech Show Activities. Group registration and pre-payment will also be accepted. For group registration, please provide a listing of attendees on a separate sheet with names and titles along with full payment.

If this is a group registration, please provide the names of the attendees:

System Attendees:

Yes, I am pre-paying the registration fee of $40 SCTE Member/$50 Non-Member $
Non-Members: I've enclosed my dues ($10 per year) and taken the member discount $
(**National membership available at http://www.scte.org/)

YES, Call me with additional information about the Talkeetna Trekker Denali Rail Trip

TOTAL AMOUNT REMITTED / AUTHORIZED $

I will pay the registration fee the day of my arrival using my credit card number as a guarantee:
(**Note: Talkeetna Trekker Trip Must Be Paid In Advance)

Expires: Month - 01 02 03 04 05 06 07 08 09 10 11 12 Year - 2007 2007 2008 2008 2009 2009 2010 2010 2011 2011 2012 2012 Type of Card - VISA Mastercard Discover American Express
Card #
Name on Card

If you prefer to mail registration and payment, please mail to:

SCTE Alaska - Viking Travel, Inc.
101 N. Nordic
P.O. Box 787
Petersburg, AK 99833-0787

Call us for up to 10% off tickets on Alaska Airlines for the Show!!!

We hope to see you for the training and the Tech Show!!!