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To register for the NDE Demo Forum at PVP 2004, please fill out the form below and mail your check for $250 US, payable to ASME PVP Division, to Carl Jaske, CC Technologies, 6141 Avery Road, Dublin, OH 43016-8761 USA.

Name (First Middle Last):

Affiliation:

Address 1:

Address 2:

City:    State:    Mail Code:

Country:   E-Mail:

Tel:    Fax:

I am sending my check now.

I will send my check by April 30, 2004.