| Congress Registration |
(Please print)
Name ________________________________________________
Address ________________________________________________
City________________ State__________ Zip ____________________
Country_______________ Tel.: ____________ Fax: ________________
E-mail ___________________________________
|
Registration Fees:
Congress Sessions |
Fee
Prior to 6/15/99 |
Fee
After 6/15/99 |
Number of participants |
Total |
| - General rate |
$200.00 |
$250.00 |
________ |
________ |
| - One day rate |
$100.00 |
$150.00 |
________ |
________ |
| - ISEH members (How to join ISEH) |
$150.00 |
$200.00 |
________ |
________ |
| - Student rate |
$100.00 |
$125.00 |
________ |
________ |
| Field Trips |
Prior to 5/10/99 |
After 5/10/99 |
|
|
| - Clear Lake (one day) Aug. 20 |
$60.00 |
$70.00 |
________ |
________ |
| - Hedgerow Farms (one day) Aug. 19 |
$30.00 |
$40.00 |
________ |
________ |
| - City of Davis Wetlands (one day) Aug. 19 |
$15.00 |
$25.00 |
________ |
________ |
| - Yolo Basin (one day) Aug. 19 |
$15.00 |
$25.00 |
________ |
________ |
| - Vines, Wines, Wetlands, Aug. 20 |
$75.00 |
$85.00 |
________ |
________ |
- Sacramento, San Joaquin River Delta,
San Francisco Bay and Redwoods, Aug. 19 |
$60.00 |
$70.00 |
________ |
________ |
| Special Events |
|
|
|
|
| - Sunday August 15, Welcome Reception |
N/C |
N/C |
________ |
|
| - Tuesday August 17, Congress Banquet |
ea / $ 35.00 |
ea/ $45.00 |
________ |
________ |
| |
|
|
TOTAL |
_____________ |
Payment
____ Check enclosed (Payable to THE REGENTS, UNIVERSITY OF CALIFORNIA)
When paying by credit card please add $5.00 processing fee to the total amount
____ Visa #__________________________ Mastercard # ________________________
Signature___________________________ Expiration Date: ___________ |
