Indiana Coal Registration Form

2011 Annual Meeting

Hilton Hotel, 120 West Market St., Indianapolis

December 1, 2011

Tentative Event Schedule

12:00 -2:45 p.m. Underground Committee Meeting

12:00-2:45 p.m. Board of Directors Meeting

12:00-2:45 p.m.  Regulatory Affairs Committee Meeting

3:00-5:00 p.m. General Business Session

6:00 p.m. Hospitality Hour

7:00 p.m. Dinner and Dance

Invitation Link

$100 per attendee / $200 per couple

Name
Spouse/Guest
Company Name
 Home Street Address
City, State, Zip
Email
Spouse Email
Phone
Total Registered
Other comments such as special dietary needs, etc.
   
Spam Protection:  Please type in the numbers "2345"  

If appropriate, checks should be submitted separately to Melissa Hawk per the information below after submitting this form. 

If desired, credit card payment information will be collected and processed after submitting this form.

Melissa Hawk

Peabody Energy

7100 Eagle Crest Blvd

Evansville, Indiana 47715

Fax 812-424-9064

Email: mhawk@peabodyenergy.com

 

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2011 Group Code "ICC"