Summit Registration Form

Charlotte Harbor Watershed Summit

February 7-9, 2002

Registration Form

If you are a sponsor or speaker (check whichever applies) the registration fee is waived but we ask that this form be submitted. Since no payment is involved, the form may be submitted electronically.

I am a speaker.

The business/organization I work for is a sponsor.

Who is being registered to attend the Charlotte Harbor Watershed Summit?

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

FAX

E-mail

Please check the activites you plan to attend and whether or note you wish to ride the passenger bus.

Thursday, February 7, 2002: Technical Symposium

ALL DAY (no need to check individual activities)

Morning Session

Lunch

Afternoon Session

Evening Reception

Free Bus Transportation

from Bartow

from Wauchula

from Arcadia

Friday, February 8, 2002: Technical Symposium

ALL DAY (no need to check individual activities)

Morning Session

Lunch

Afternoon Session

Evening Reception (limited to 90 passengers)

Free Bus Transportation

from Bartow

from Wauchula

from Arcadia

Saturday, February 9, 2002: Public Conference

ALL DAY (no need to check individual activities)

Morning Session

Lunch

Afternoon Session

Free Bus Transportation

from Bartow

from Wauchula

from Arcadia

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Work Phone
FAX
E-mail