Sue Morse registration form

Sue Morse Workshop and Field Trip Registration

Name (please print):

Phone number:

Email address:

Institution or Affiliation:

Please check the workshops and field trips you are signing up for:

    Foot Morphology Workshop Friday, Jan 30,7:00-9:00 pm

    Field Trip I Saturday, Jan. 31,9:00 am-5:00 pm

    Field Trip IISunday, Feb. 1,9:00 am-5:00 pm

    Focal Species Workshop Sunday, Feb. 1,6:00-9:00 pm

Total payment:

(one workshop, $25; one field trip, $65; a workshop plus a field trip, $85; two field trips, $120; a workshop plus two field trips, $140)

Method of payment:

    Check (mail this form and your check, made out to Linda Spielman, to:

Linda Spielman,18 Rochester St.,Dryden,NY13053.)

Credit Card (many thanks to LimeHollowNatureCenter for processing credit card payments)

            Name on card:
            Type of card (Mastercard or Visa only):
            Card number:
            Card expiration date:

__PayPal (also processed through LHNC; I'll email instructions on how to make your payment)