Conference Registration

Bolded fields are required

Name:

Company or Agency:

Address:

Telephone:
ext:

E-mail:

Registration Fees:

  • Fees by June 30, 2008 (after this date, add $25):
  • $100 Full Registration (all three days)
  • $ 75 for only Wednesday (August 6)
  • $ 25 for Tuesday Field Trip (August 5)
  • $ 25 for Thursday Field Trip (August 7)
  • $ 50 for both field trips (August 5 and 7)
  • $ 25 Student Registration (all three days)

Method of Payment:

  • Sending check
  • Credit Card
  • Credit card information will be sent through unsecured transmission. Those wishing to give credit card information over the phone rather than online must call Becky Casteel at 304-293-6131 x4231.

Credit card information:

Card type:

Credit card number:

Name on credit card:

expiration date :

Credit card address (if different from above):