2007 Sierra Club

---

Water

---

for People and The Environment
Regional Conference

Registration Form: [Word] [PDF]

Name __________________________________________

Address ______________________________________

______________________________________________

City/State/Zip Code __________________________

Phone (including Area Code) __________________

E-Mail Address _______________________________

I/we (specify number: _____) prefer a vegetarian lunch.

Please register ____ person(s) for the water conference.
Pre-registration deadline is Tuesday, October 16th.

Enclosed is a check for $__________
Registration $25 before October 16, $35 after and at the door. Students with ID are free before October 16, $10 after and at the door. Registration includes lunch.
Make check payable to "Lone Star Chapter, Sierra Club."

Charge my credit card for $_____. Expires: _________.
Type of card: __ Master Card __ VISA
Card # _______________________________________

Signature: ___________________________________

Return this form & payment to:
Lone Star Chapter Sierra Club
ATTN: Regional Water Conference
P. O. Box 1931
Austin, TX 78767