Wetlands Regulatory Workshop IV

First Name_________________________________ Last Name_________________________________

Name to Appear on Name Tag____________________________________________________________

Company/Affiliation___________________________________________________________________

Mailing Address_______________________________________________________________________

City_______________________________________State ________________ Zip __________________

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email address______________________________________________________________________

We cannot offer confirmation without a valid email address!

Workshop registration will be confirmed via E-mail the week of October 16.

Hotel Reservations must be made directly with the Holiday Inn by calling 1-800-548-3030 or by using the accompanying hotel registration form (see page 5). Please register early as the number of rooms are limited.

Registration Fee includes:

Admission to Oral Presentations..........Program/Abstract Booklets..........Social Events

Registration Fees

Early Registration Fee (Postmarked by October 7, 2001)  $190.00
Late Registration Fee (Paid after October 7, 2001) $210.00
Early Student Registration Fee (Postmarked by October 7, 2001) $65.00
Late Student Registration Fee (Paid after October 7, 2001) $85.00
One Day Early Registration Fee (Postmarked by October 7, 2001) $95.00
One Day Late Registration Fee (Paid after October 7, 2001) $105.00
2 or 3 Day Registration Fee  Same as Full Week Rate
Half Day Registration Fee Same as Full Day Rate

CREDIT CARD PAYMENT INFORMATION

Circle Credit Card

VISA     MASTERCARD     AMERICAN EXPRESS

Credit Card #______________________________________Expiration Date:_____________

Name As Appears on Credit Card:________________________________________________

Signature:_______________________________________Amount_______________________

Payment must accompany this registration form. Payment must be Postmarked by October 7, 2001 for participant to qualify for early registration rate. Cancellations must be received in writing by October 18, 2001. The cancellation fee is $40.00. There will be no refunds after this date.
*Make check payable to:

The Wetland Regulatory Group

67 Meyer Lane

Stafford, VA 22554

Phone: (540) 286-0072

Fax: (540) 286-0073 E-mail: Frank@TheReillyGroup.net

 

 

 

Contact Information

The Reilly Group

Telephone: (540) 286-0072
FAX: (540) 286-0073
Postal address: 67 Meyer Lane
Stafford, VA 22556-3430
Electronic mail

General Information: Frank@TheReillyGroup.net
Webmaster: webmaster@TheReillyGroup.net