NAGT Pacific Northwest Section Meeting 2001

Registration form

Please enter name exactly the way you want it to appear on your badge. * indicates a required field.

Title       First Name*       Last Name*

Address*

               

City*       State*       Zip Code*

e-mail address* (return confirmation will be sent)

School Affiliation (if appropriate)

Costs* (excluding lodging -- please choose which days you will be attending):

Thursday June 21 Lopez Island trip......$20 (includes vans, ferry, lunch, guidebook)

           Choose lunch option:
Friday June 22 Bellevue CC meeting...$35 (includes coffee, lunch buffet and barbeque dinner)

Saturday June 23 Mt. Rainier trip...........$30 (includes vans, entrance fees, breakfast, lunch, guidebook)

           Choose lunch option: Caesar salad wrap with

Sunday June 24 Seattle Fault trip..........$20 (includes vans, lunch, guidebook)

           Choose lunch option:

Payment (please pay on or by Friday, May 18):
Check (please make the check out to Bellevue Community College and put "NAGT" in the memo line; mailing instructions will follow upon hitting the submit button)

Lodging:

Please go to the lodging page of this website. Payment for lodging is not through NAGT.