Name:______________________________________________________________________ Title or Occupation: ____________________________________________________________ Organization: _________________________________________________________________ Home Address:________________________________________________________________ Work Address:________________________________________________________________ Phone: (h)_______________ (w)__________________ Email:___________________________ Please list any special needs: ______________________________________________________ |
Please print out and send completed form and check (payable to EEASC ) for all fees to:Dr. Wade Worthen |
| Entire Conference (Fri -
Sat) __$70 (member) __ $80 (non-member) Saturday only __ $25 Registration includes box lunch and awards banquet on Friday, coffee and pastries and cookout on Saturday |
$ _____________ | Workshop Pre-registration
Saturday Workshops - Please Choose from the Schedule |
| EEASC MEMBERSHIP EEASC __ 1 year ($20) new or renewal |
$ _____________ | |
| LODGING Make reservations with Hampton Inn, Travelers Rest, 864-834-5550. Special rate of $75.00 plus tax beginning Thursday, Mar 29 through Sunday Apr 1, 2007. Rate also includes : Complimentary
“On The House” hot breakfast You should reference Furman - Environmental Education Association Meeting when calling for reservations |
pay hotel directly | Field Trips -
Please Choose from the Schedule: Friday Field Trip (Wild Cat Wayside limited to 14) Saturday Field Trip |
| Extra Guest for dinner Friday - $15 | $ _____________ | |
| TOTAL ENCLOSED | $ _____________ | |
Please send completed form and check
(payable to EEASC) for all
fees to: |
||
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