IRTC DELEGATE INFORMATION FORM
What is the EXACT name that you would like to appear on your LAPEL NAME BADGE?
First (given) Name:
Last (family) Name:
Company Name:
What is the EXACT name that you would like to appear on your COURSE CERTIFICATE?
Will you bring a partner?
Who would you like to sit with?
Please rate your Level of INTEREST and your past EXPERIENCE, on a scale of 1 (low) to 5 (high) against the following:
Is there a problem/question from your own mill you would like added to the discussions?
We hope you are happy to provide a few sentences about yourself:Please be assured that this information will only be made available to those attending the next IRTC.
Include information about your current job and past working experience. Include a sentence about your personal life (sporting interests, hobbies and your family)
Thank you for your assistance _ _ _ _ _
Hatch IAS
71 York Street (Post Office Box 3100) Teralba, NSW, 2284, Australia Tel: +61 (2) 4965 8688 ~ Fax: +61 (2) 4965 8633 ~ irtc@hatch.com.au
7000 Industrial Boulevard, Aliquippa PA 15001, USA Tel: +1 724 375 5500 ~ Fax: +1 724 375 7700 ~ info@indauto.com