Climate Change & RI's Natural History Future
~ 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
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
Questions happily fielded by e-mail:
or phone call: 401.874.5800.
Conference Program Schedule ~ Friday, Nov. 15, 2019
How would you like your name badge to read:
Employer / Organizational Affiliation
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:
I plan to partake in coffee & continental breakfast (7:30 - 8:30 am)
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
I am a STUDENT - How much do I owe $$
$50.00 LATE registration fee (includes a 1 year Survey membership for discounts on other events)
I AM a Survey MEMBER - How much do I owe $$
$70.00 LATE MEMBER registration fee
I WANT to BECOME a Survey MEMBER - How much do I owe $$
$95.00 LATE Registration & Become an INDIVIDUAL Member
$110.00 LATE Registration & Become a FAMILY Member
$160.00 LATE Registration & Become an ORGANIZATIONAL Member
I AM NOT a Survey Member (and don't want to join) - How much do I owe $$
$90.00 LATE NON-MEMBER registration fee
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
. 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:
Check by mail
Online at www.rinhs.org
At the conference
Leave a message(s) for the event organizers?
Questions, comments, etc.
Many thanks to the conference planning committee!
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This form was created inside of Rhode Island Natural History Survey.