REGISTRATION FORM
Climate Change,
Agriculture and Renewable Energy
An advanced workshop summarizing the
latest science and implications for farming
This registration form can be
mailed in (see address below), faxed to the UVM Center for Sustainable
Agriculture at 802-656-8874, or call 802-656-5459 to reserve a space.
The registration fee will be
waived upon request.
Funded by the Northeast Sustainable Agriculture Research and Education program
April 4, 2006 at the Ramada Inn,
Name:_______________________________________________________
Farm
or organization: ___________________________________________
Address:
_____________________________________________________
____________________________________________________________
Phone:
_______________________ Fax: __________________________
E-mail:
______________________________________________________
Conference fee: $ 50.00 per person -- Includes
morning and afternoon breaks, lunch, resource notebook and cd.
Conference fee does not include lodging.
You must make lodging arrangements on your own. Please see below
for cut-off dates to receive special rates.
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Please
list names of those attending: ______________________________ ______________________________ ______________________________
______________________________ |
Total
number attending: _____
at $50 each Total
due:
$ _____ |
Number
of vegetarian meals requested: ____
Credit card payment
You
can use a credit card to pay your conference fee. Please circle the type of
card and fill in other information as indicated.
Circle:
VISA MasterCard
Card
number: _________________________________
Expiration
date: _____/ ______/________
Amount
to be charged: $_________________
Print
the name as it appears on the card:
____________________________________________
Signature___________________________________
Or please enclose a check payable to UVM.
Return registrations
to
Climate Change
Conference
63 Carrigan Drive
Burlington,
VT 05405
Program
The
full conference program can be viewed at: www.uvm.edu/sustainableagriculture/climatechange.html
Ramada Inn
5 Ella Grasso Turnpike
Windsor Locks, Connecticut
Double
Occupancy Rooms are available for $99/night plus tax
These
special rates are available for reservations received by March 15, 2006.
To
make your reservation, please call (860) 623-9494 and say you are coming for
the conference. More information on this hotel can be found at http://www.ramadainnbradley.com/.
Questions?
Questions
can be directed to Vern Grubinger, conference coordinator, at vernon.grubinger@uvm.edu.
Funded by the USDA Northeast Sustainable
Agriculture Research & Education program (NE-SARE)
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