2012 Seminar

March 31 - April 1 with Nevada Wier

April 2 - Your choice of field trips


REGISTRATION FORM

NOTE: Desk opens at 7:30 AM for registrations at the door. -- No refunds after program.

Pre-registration

Late Registration

Until March 15
After March 15
A) PSA or CAPA Members

$85 one or both days

Same price, but lunch is not available

B) Non PSA/CAPA

$95 one or both days

Same price, but lunch is not available

C) Students with ID

$50 one or both days

Same price, but lunch is not available

D) Students with ID $25 at the door, without lunch (suggest brown bag) one or both days

SATURDAY LUNCH IS INCLUDED IN THE REGISTRATION
FEE UNTIL March 15

You may fill out this form, print it and mail it with your payment to the address below.

Make your check payable to: PSA Inland Empire Chapter
Mail your registration and check to: Jerry Biggs, Treasurer
345 NW Robert Street, Pullman, WA 99163-3638

Category (select from above)

# Required

Amount

Total Enclosed

 
If planning to attend a field trip, indicate below 1st & 2nd choices, then number attending (spouse welcome).
     

Field Trip

Choice

# Attending

1) Inside Spokane
2) Northwest Palouse
3) (NOTE: Fully subscribed. Please select trip 1 or 2.) Southeast to Palouse, WA & into Idaho
 
Name(s)
Address
City State Zip
Phone
E-mail