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: Roast beef sandwich Turkey sandwich Ham sandwich Vegetarian (cheese) sandwich 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 Roasted Chicken Bay Shrimp Plain (vegetarian/cheese)
Sunday June 24 Seattle Fault trip..........$20 (includes vans, lunch, guidebook)
           Choose lunch option: Oriental Chicken Salad Greek Salad Caesar Salad
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.