Washington Ornithological Society
14^th Annual Meeting        June 14-16">

Washington Ornithological Society
14^th Annual Meeting        June 14-16, 2002    Okanogan, WA

Printable Registration Form

(One form per person.  Please print out multiple copies of this form if necessary)

If you have questions about the conference, email Conference AT wos.org.

Name:______________________________________________________________     Address:____________________________________________________________ City, State/Prov, ZIP__________________________________________________ Phone: (day)  (____)__________________  (evening)  (____)_________________ e-mail address _______________________________________________________ Field trip carpooling: check here if you are willing to drive: ______

Conference Fee:
$25 Adult/ $10 Student	$_____
$5 late fee if received after May 31, 2002	$_____
Membership: (All attendees must be WOS members)
Current Member ($0)	$_____
Renew 12-month individual ($20) / family ($25)	$_____
New WOS Individual Membership ($20)	$_____
New WOS Family Membership ($25)	$_____
Upgrade from Individual to Family Membership ($5)	$_____
Conference Fee / Membership Subtotal	$_______

 

FIELD TRIPS All field trips are $15 Indicate 1st, 2nd, and 3rd choices for daytime trip choice; and A or B for owling field trip choice. Friday - June 14th ______ L-4    Colville Plateau - FULL ______ L-6    Soap Lake - FULL ______ O-1   Loup Loup Pass Campground - FULL ______ O-2   Moses Meadow - FULL Saturday - June 15th ______ L-1    Palmer Lake and Champneys Slough - FULL ______ L-2    Aeneas Valley and W. Fork Sanpoil - FULL ______ L-3    Beaver Lake and Toroda Creek ______ L-4    Colville Plateau ______ L-5    Havillah and Molson ______ L-6    Soap Lake ______ H-1   Long Swamp - FULL ______ H-2   Roger Lake - FULL ______ H-3   Freezeout Ridge - FULL ______ O-1   Loup Loup Pass Campground - FULL ______ O-3   Havillah Area - FULL Sunday - June 17th ______ L-1    Palmer Lake and Champneys Slough - FULL ______ L-2    Aeneas Valley and W. Fork Sanpoil ______ L-3    Beaver Lake and Toroda Creek ______ L-4    Colville Plateau ______ L-5    Havillah and Molson ______ L-6    Soap Lake ______ H-1   Long Swamp - FULL ______ H-2   Roger Lake - FULL Field Trip Subtotal   $__________

MEALS     Friday - breakfast, lunch, and dinner on your own     Saturday     Breakfast (buffet-style) ($7.50) _______     Lunch* (box lunch) ($7.50) _______ T  H  V  (circle one)     Buffet Dinner** ($12) _______ W   V  (circle one)     Sunday - June 17th     Breakfast (buffet-style) ($7.50) _______     Lunch* (box lunch) ($7.50) _______ T  H  V  (circle one)     * circle sandwich preference - Turkey (T); Ham (H); Veggie (V)     ** circle entree preference - Western - chicken and ribs (W);                                             Vegetarian fettuccine (V)     Meals Subtotal                                     $________   Conference Fee / Membership Subtotal      $________ Field Trip Subtotal                                       $________ Meals Subtotal                                             $________ GRAND TOTAL                                             $__________

 

Make checks payable to: WOS

Send Registration Form and payment to:

Washington Ornithological Society

Attn: Treasurer

P.O. Box 31783

Seattle, WA 98103-1783

 

Cancellation Policy: If you need to cancel, a full refund will be made until May 31, 2002.
Thereafter, a refund of all recoverable money will be made.

 

RELEASE FORM

 

Pertaining to the activities organized by the Washington Ornithological Society for June 14 - 16, 2002:
 I, ________________________________, as a member of the Washington Ornithological Society, understand the dangers involved in the activities in which I plan to participate. I will be fully responsible for any personal injuries and well-being and will hold harmless the Washington Ornithological Society and its Board of Directors, agents, and staff.

 

Signed: _________________________________ Dated: __________________