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
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 *
Your answer
Last Name *
Your answer
How would you like your name badge to read:
Your answer
Employer / Organizational Affiliation
Your answer
E-mail address *
Your answer
E-mail address *
please enter again just to make sure you got it right!
Your answer
Cell phone number *
Your answer
Mailing address - Affiliation or leave blank
Your answer
Mailing address - Street *
Your answer
Mailing address - City *
Your answer
Mailing address - State *
Your answer
Mailing address - Zip code *
Your answer
This address is my: *
I plan to partake in coffee & continental breakfast (7:30 - 8:30 am) *
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.
Required
I am a STUDENT - How much do I owe $$
I AM a Survey MEMBER - How much do I owe $$
I WANT to BECOME a Survey MEMBER - How much do I owe $$
I AM NOT a Survey Member (and don't want to join) - How much do I owe $$
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.
Your answer
I plan to pay with: *
Leave a message(s) for the event organizers?
Questions, comments, etc.
Your answer
Many thanks to the conference planning committee!
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