Climate Change & RI's Natural History Future

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~ PRE-REGISTRATION REQUIRED ~
LATE Registrations only from Friday, Nov. 8 at 12noon through 12 noon on Tuesday, Nov 12.

NO registrations accepted after 12 noon on Tuesday, Nov. 12.

Please complete a separate form for EACH PERSON who will attend the conference.

Payment prior to the event is appreciated. After completing your registration form(s) please:
A) mail your check payable to RINHS, PO Box 1858, Kingston, RI 02881; or
B) visit www.rinhs.org to pay (using the green DONATE button).
C) Payment can also be made at the conference by cash, check, or credit card.

Find complete 2019 Conference information at http://rinhs.org/who-we-are-what-we-do/conferences/conf2019/

Questions happily fielded by e-mail: programadmin@rinhs.org or phone call: 401.874.5800.

Conference Program Schedule ~ Friday, Nov. 15, 2019

What do we know? What do we need to know?

First Name *

Last Name *

How would you like your name badge to read:

Employer / Organizational Affiliation

E-mail address *

please enter again just to make sure you got it right!

Cell phone number *

Mailing address - Affiliation or leave blank

Mailing address - Street *

Mailing address - City *

Mailing address - State *

Mailing address - Zip code *

This address is my: *

Work address

Home address

I plan to partake in coffee & continental breakfast (7:30 - 8:30 am) *

yes

Required

Lunch will be provided by the Quonset O Club. Please denote your choice for type of meal *

Catering will include a make your own sandwich and salad bar.

I am an omnivore

I am a vegetarian

Required

I am a STUDENT - How much do I owe $$

$50.00 LATE registration fee (includes a 1 year Survey membership for discounts on other events)

Clear selection

I AM a Survey MEMBER - How much do I owe $$

$70.00 LATE MEMBER registration fee

Clear selection

I WANT to BECOME a Survey MEMBER - How much do I owe $$

$95.00 LATE Registration & Become an INDIVIDUAL Member

$110.00 LATE Registration & Become a FAMILY Member

$160.00 LATE Registration & Become an ORGANIZATIONAL Member

Clear selection

I AM NOT a Survey Member (and don't want to join) - How much do I owe $$

$90.00 LATE NON-MEMBER registration fee

Clear selection

Total Due *

Please add up what you owe and pay for registration by CHECK payable to RINHS, PO Box 1858, Kingston, RI 02881, or pay ONLINE with PayPal (using your PayPal account or your MC/Visa) at www.RINHS.org. Click on the green "DONATE" button & enter the amount you owe. You can also pay AT the conference with cash, check or credit card.

I plan to pay with: *

Leave a message(s) for the event organizers?

Questions, comments, etc.

Many thanks to the conference planning committee!

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