Southeastern Water Trail Forum
October 29 – 30, 2009
Conference Registration

Please note that all payments must be received by the conference date for registration to be valid.

Contact Information

First Name:
Last Name:
Company/Organization/Agency:
Street:
City:
State:
Zip Code:
Phone:
*Email:
Special Dietary Needs:

Sponsorships
If you would like to be a sponsor of this year’s conference, please check one of the options below.

All sponsorship levels include at least one complimentary registration. The number of registrations is listed after the levels. Additional individuals receiving complimentary registrations will still need to complete a registration form. There is an option at the end of the form to indicate that their registration is free.
Please note: All sponsorship levels must be paid by check or invoice.
Click here for more information about sponsorship levels and benefits.

$10,000+	Conference Sponsor (3 Registrations)
$5,000	Benefactor (2 Registrations)
$2,500	Patron (1 Registration)
$1,000	Supporter

Registration

$95.00	Individuals and Non-profit Organizations
$125.00	Businesses and all Government Agencies
$120.00	Late Registration for Individuals and Non-profits (after October 16)
$150.00	Late Registration for Businesses and Government Agencies (after October 16)

Field Trips (optional)
All field trips will be filled on a first-come, first-serve basis. If you are registering for a Friday afternoon field trip, please indicate a second choice in the even your first choice is full. Also, if you have any special needs or conditions that the trip organizers need to be aware of, please let us know in the text box at the end of this form. All field trips are $15.00.

Wednesday Evening / Pre-Conference Field Trip FULL - If you would like to be added to the waiting list for this field trip, please contact us at kd@southeastwaterforum.org.
$15.00	Sunset Paddle Along the Chattanooga Waterfront (4:00 – 6:00 pm)
Friday Afternoon Field Trips (First Choice)
$15.00	Lookout Creek Canoe Trip (2:00 – 4:00 pm)
$15.00	Two Rivers, Two Islands by Sea Kayak (1:30 – 5:30 pm)
$15.00	South Chickamauga Creek Launch Tour (1:30 – 4:30 pm)
(Second Choice)
	Lookout Creek Canoe Trip (2:00 – 4:00 pm)
	Two Rivers, Two Islands by Sea Kayak (1:30 – 5:30 pm)
	South Chickamauga Creek Launch Tour (1:30 – 4:30 pm)
Please note: All payment must be received by the conference date for registration to be valid.
Total:

Method of Payment

Credit Card (PayPal) – Once you have submitted your registration form, you will be prompted to continue to the credit card payment page to process your registration fees.

Check – Make checks payable to the Southeast Watershed Forum. Please include the name of the attendee on the check and mail it to the following address:

Southeast Watershed Forum
One Vantage Way, Suite E-250
Nashville, TN 37228

Additional Information:

If you have any questions or need assistance in completing this form, please contact our office at 615-627-1310 or seforum@southeastwaterforum.org.

Complete Your Registration:

PLEASE NOTE: If you would like to print a copy of this form for your records, please do so before clicking the submit button.