Fifth Annual Northwest Salmonid Recovery Conference
Hosted by the Northwest Environmental Training Center
October 26 - 29, 2004, 8:30 A.M. to 5 P.M.
Mountaineers Conference Center, 300 Third Avenue W, Seattle, WA

ONLINE SPEAKER REGISTRATION FORM
NOTE: If you do not have all the requested info, please fill out what you can now and submit the other information by October 1, 2004.

Name:
Title of Presentation:

Presentation Description:
Include topics covered:
Speaker Bio:
Please write a few sentences about yourself as it pertains to your presentation.
Dates Available to Speak: Sessions will be organized according to topic but we will try to accommodate your schedule whenever possible.
Job Title:
Firm:
Email:
Billing Contact:
Billing Address:
Mail Code:
City:
State:
Zip:
Mailing Address:
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Daytime Phone:
Fax:
Comments:

Select Sessions:
Session Titles:
a
As a speaker you are invited to attend sessions one, two, and three for free, pending presentation proposal acceptance. We are offering a special speaker discount for session four, the Habitat Restoration Field Trip. Please check the corresponding check box for the sessions you plan on attending.
Session 1: Stock Status, Recovery Science, and Recent Developments
October 26, 2004 8:30 A.M. to 4:30 P.M.
Mountaineers Conference Center
300 Third Avenue West, Seattle, Washington
 free
Session 2: Population and Habitat Assessment and Monitoring - Updates and New Techniques
October 27, 2004 8:30 A.M. to 4:30 P.M.
Mountaineers Conference Center
300 Third Avenue West, Seattle, Washington
 free
Session 3: Restoration Science, Criteria, and Activities
October 28, 2004 8:30 A.M. to 4:30 P.M.
Mountaineers Conference Center
300 Third Avenue West, Seattle, Washington
 free
Session 4: Habitat Restoration Field Trip
October 29, 2004 8:30 A.M. to 4:30 P.M.
Meet at Mountaineers Conference Center
300 Third Avenue West, Seattle, Washington
Tuition: Special discount price for speakers, $60 (regular field trip fee is $120)		 $60
Total:

 

PAYMENT METHOD:
This only applies to those registering for Session 4, the Habitat Restoration Field Trip.

VISA MASTERCARD CHECK PURCHASE ORDER


REGISTERING BY CREDIT CARD OR PURCHASE ORDER

Credit Card Number or PO#: Card Expiration Date or PO Terms:

REGISTERING BY CHECK

Please complete this form and press the "Submit" button to email it to NWETC. We will confirm receipt of your registration form. Please mail a check payable to NWETC along with a copy of the registration form. Please keep a copy for your records. Remit payment to and form to:

Northwest Environmental Training Center
Registration Dept.
4742 - 42nd Avenue SW, PMB 322
Seattle, WA 98116

REGISTERING BY PHONE OR FAX

Call us at (206)762-1976 from 8 A.M. to 5 P.M. PST or fax registration information to (206)762-1979.

 

Thank you for your interest in being a speaker at the 2004 Northwest Salmonid Recovery Conference!