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2016 Tar Creek Environmental Conference
Ottawa County Resident Registration Form
Thank you for registering! Please complete the following items.
*
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Write your full name, mailing address, and/or email address in the box below.
*
Want to print & email instead?
If you prefer to fax or email your registration, please download our registration form by
clicking here
. Complete and return it as directed on the form.
Reserve my seat on the Toxic Tour. NOTE: Pre-Registration REQUIRED.
*
September 12 - Meet at LEAD Agency office at 1:00 p.m. Plan for 2 hours.
September 13 - Leave from Miami Civic Center at 5:00 p.m. for a shortened tour before the Fish Fry.
I will be unable to attend either Toxic Tour.
Conference Attendee Registration Options (select one):
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FREE 2 Day National Conference Registration: includes 2 day registration fee
FREE 1-Day Registration (Tuesday, Sept. 13)
FREE 1-Day Registration (Wednesday, Sept. 14)
VENDOR Registration 1-Day (Tuesday, Sept. 13) $100 (please call ahead for set-up information and booth requirements)
VENDOR Registration 1-Day (Wednesday, Sept. 14) $100 (please call ahead for set-up information and booth requirements)
VENDOR Registration 2-Day - $200 (please call ahead for set-up information and booth requirements)
*** For more information on registration, please call LEAD Agency at 918-542-9399. ***
Please sign me up for the following additional Conference options (select all that apply):
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Opening Reception - Sept. 12, 7-8 p.m.
Lunch Meal - Sept. 13 Noon to 1 p.m. Open to the public. Donations at the door.
$7 Fish Fry with Pie Auction - Sept. 13, 6-8 pm. Open to the public. Pay at the door.
Native American Traditional Meal - Sept. 14 noon to 1 pm. Open to the public. Donations at the door.
Please select your method of payment:
*
Check
Purchase Order
Cash (on site)
PayPal (processed on next page)
No payment due
To finalize your registration and (if applicable) process your PayPal payment, please click the Submit button below. We look forward to seeing you!
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