On-Line Registration


Please use this form to register on-line.  Authors and students were to have registered by the cut-off for discounted rates they may have been quoted.  Credit cards charged using this form will appear on your statement as The Reilly Group - wetlands.

Please provide the following contact information:

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

Please Select your registration:

QTY DESCRIPTION
Full Registration $295.00
Single Day Registration $155.00
Field Trip Registration $55.00

BILLING
Purchase Order #
Account Name

If your credit card statement address is different that above, please give it here.
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

If you chose Single Day Registration It MUST be for a single Calendar Day. That is the way we are billed by the conference center. Which Day will you attend.

Monday
Tuesday
Wednesday

Will you attend the luncheon? It is part of your registration if you are attending on Tuesday. You have to register to attend so that we can correctly order the food:

I will attend the luncheon
I will not attend the luncheon

The field trips are available for an extra cost to help defray our expenses. Choose one, but realize that the trips selections will be filled on a first come first served basis for those who pay in full. If you elect to pay by P.O. or when you walk-in, you risk not getting your first choice:

I will go on the Canoe Trip
I will go on the Restoration Trip
I am not going on the Field Trip

Choose one of the following free training sessions if you will be with us on Tuesday:

I won't be there Tuesday
I don't want the free training
     Identification of Grasses Sedges & Rushes This class is full please choose another
Winter Plant Identification
Introduction to the National Hydric Soil Indicators
Wetland & Watershed Restoration
Overview of the Draft Supplement to the 1987 Manual

Will you attend the evening social on Tuesday night? It is part of your registration if you are attending on Tuesday. You have to register to attend so that we can correctly order the food:


Select any of the following options that apply:

Vegetarian
Vegan
I will call Frank Reilly and ask for something else

Please give your credit card number


Expiration Date


Give the security number. In most cases it is a three digit number in the signature box. american Express has a four digit number on the face of the card.



Author information goes here.
Copyright © 2003 [Wetlands & Watersheds Work Group ]. All rights reserved.
Revised: 10/20/07