Marcellus Shale Exposed Registration
Thanks for your interest in Marcellus Shale Exposed: A Symposium for Truth and Action! Although the event is open to the public free of charge, space is limited, so we ask that you complete the following registration form. You can list a guest on this form. If there are more than two people in your party, please submit a registration form for each additional person.
Last Name *
Your answer
First Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
We won't call you or share your number. We'll only use this number to call you in the event of a last minute cancellation.
Your answer
Email *
Your answer
May we use your contact information to add you to our mailing list for future events? *
If you choose yes, you can opt-out at any time.
Required
Last Name of Guest
Your answer
First Name of Guest
Your answer
Please indicate which of the following sessions you and your guest will attend. *
Choose as many as apply.
Required
Lunch no longer available.
Lunch is scheduled from 11:45 to 12:15, Sorry, the lunch option is no longer available. Please plan to bring your own lunch as the cafeteria is closed and there are no restaurants nearby.
Lunch no longer available
Please indicate which of the afternoon Task Force sessions you'd most like to attend. *
If you are NOT participating, please select option 7
Please indicate which of the afternoon Task Force sessions you'd like to attend if your first choice is full. *
If you are NOT participating, please select option 7
Please indicate which of the afternoon Task Force sessions your guest would most like to attend.
If your guest is NOT participating, please select option 7
Please indicate which of the afternoon Task Force sessions your guest would most like to attend if their first choice is full.
If your guest is NOT participating, please select option 7
Do you have any questions for us?
Your answer
Thank You!
You will receive confirmation of your registration. Looking forward to seeing you at Marcellus Shale Exposed!
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