Registration Form
Registration Form
Sustaining Colorado Watersheds: Thriving in Challenging Times
October 7-9, 2009 Vail Cascade Resort & Spa,
1300 Westhaven Drive, Vail, CO
ph: 800-420-2424
Registrant Information
Name
First
Last
Organization
Web Site
Email
Phone
-
(###)
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###
####
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
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Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Payment Information:
Registration Costs:
Are you a member/partner of any of the following organizations? (Colorado Watershed Assembly, Colorado Riparian Association, AWARE Colorado, Colorado Lake & Reservoir Management Association, or Colorado Foundation for Water Education)
Member Registration ($155) Non Member Registration ($180) Late Registration (postmarked after 9/1, add $50 for late fee)
Enter Total Amount Due
$
.
Dollars
Cents
Payment Method ($5 discount for those paying via cash or check)
Cash
Check (payable to “Colorado Watershed Assembly”)
Credit Card
Credit Card Type
Visa
Mastercard
American Express
Credit Card Number
Credit Card Expiration Date
Enter Month and Year (MM/YY)
Name on Credit Card
If paying by check, send to: Sustaining Colorado Watersheds c/o ICEC, Inc. PO Box 1359 Gypsum, CO 81637
Workshops and Fieldtrips: This year there will be a series of tours and trainings as part of the conference. Please indicate if you plan to attend any of the following:
Wednesday Morning
Teaching Water (CO Foundation for Water Education)
Nonpoint Source Pollution (NPS) Program (Water Quality Control Division)
Friday Morning
Is your monitoring program relevant now, in the future, and how do you know? (CO Division of Wildlife)
CO Data Sharing Network Training
Field Trips: Eagle River Watershed Projects: Sites to be determined, Check back online at www.coloradowater.org for details as they develop.
Meals
I plan to attend the Wednesday banquet
I plan to attend the Thursday lunch and keynote address
Table Top Displays
I would like to purchase table top space
($325) Vendor (Includes one registration)
($50) Watershed Groups/ Non-Profits
Scholarships: A limited number of partial and full registration scholarships may be available.
If you are interested, apply as soon as possible by sending an email to awarecolorado@earthlink.net explaining your interest in the conference, the reasons that you need financial assistance to attend, and how much assistance you are requesting.
Applied for Scholarship (waiting for confirmation)