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Registration Form - Return by Fax or by mail.
Willow Tour on November 11-13, 2004
Name______________________________________________________
Organization _________________________________________________
Address ____________________________________________________
City _____________________ State ________ Zip __________________
Phone ( ______ ) _______________ Fax ( _____ ) __________________
email ______________________________________________________
Dietary or special needs:________________________________________
Register me for the Willow Tour on November 11-13, 2004.
Fee: $125 includes event materials, transportation for the tour, lunch and dinner on Friday and lunch on Saturday. All other meals are on your own.
Please circle method of payment: Check (payable to SUNY Research Foundation), Credit Card (no American Express), or Purchase Order.
If paying by check, please make your check payable to: SUNY Research Foundation.
If paying by credit card, (check VISA or MasterCard below)
______ Visa _____ MasterCard Expiration Date: ______________________
Name on the Credit Card: ____________________________________________
Credit Card Number: ________________________________________________
Signature: _________________________________________________________
If paying with a purchase order, PO number: _________________.
Mail form to: ESF Outreach, SUNY College of Environmental Science & Forestry, 219 Bray Hall
1 Forestry Drive, Syracuse, NY 13210-2784 or FAX: 315-470-6890
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State University of New York College of Environmental Science and Forestry
SUNY-ESF | 1 Forestry Drive | Syracuse, NY 13210 | 315-470-6500
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