The 17th
Northeastern Recreation Research Symposium
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Name: _________________________________________________________________ |
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Title:___________________________________________________________________ |
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Agency/Institution: ______________________________________________________ |
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Address:_________________________________________________________________ |
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City: _________________________ State/Province: ___________Zip: ___________ |
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Phone: _______________________Fax: ________________________ |
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E-mail: ________________________________________________________________ |
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Badge Information:_________________________________________________________ |
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Special needs:_____________________________________________________________ |
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Registration Fees Registrations with payment /
purchase order must be postmarked by March 16, 2005 Discount Early-Registration Fees (postmarked/faxed with payment through March 16, 2005): Professional: $155 Standard Registration Fees (postmarked/faxed with payment after March 16, 2005): Professional: $205 One-day Registration Fees (regardless of date received): Professional: $105 Spousal Fee (regardless of date received) $95 Field trip to Up Yonda Farms $3 (Do not enclose with your registration fee – pay directly to Up Yonda Farms the day of the field trip) Payments: By credit
card: Credit Card
Information: q VISA q MasterCard (Sorry,
American Express can not be accepted!) Expiration Date: __________________________ Account Number: _____________________________________________________________ Signature: _____________________________________________________________ By check: Please make checks payable to “SUNY Research Foundation”, Federal Employer ID: 141368361. Purchase
orders are also accepted. Fax, mail, or e-mail all payments and registrations to the addresses below: ESF Outreach E-mail: outreach@esf.edu Cancellations/Refunds: Refunds (minus an administrative fee of $50) will be given only until March 30, 2004. After that date, no refunds are possible. Participants who wish to receive a refund must provide written notice to ESF Outreach by March 30, 2004. Social activities and meals with a separate fee are non-refundable. Cancellations will not be accepted by phone. Substitutions are permissible at any time. Hotel reservations: Hotel reservations must be made directly with the Sagamore Resort (1-800-358-3585). For further information on registration contact: ESF Outreach, at (315) 470-6817 or by e-mail at “outreach@esf.edu”. |
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Download Pre-Registration Form in
.doc format Here.