California Biodiversity Council

California’s Renewable Energy Future

March 18-19, 2009 Barbara Worth Golf Resort, Holtville, California

R E G I S T R A T I O N   F O R M

First Name:
Last Name:
Organization:
HOME/WORK ADDRESS:
Street
City
State
Zip
CREDIT CARD BILLING ADDRESS:
Street
City
State
Zip
Phone:
Email:
Email 2:		E-mail #2 will receive confirmation and any other correspondence that is sent via e-mail.
		Attention CBC Member Organizations: Please check here if you will be representing your organization at the head table.
		Please notify me of future CBC events.
		I would like to receive the electronic version of the CBC newsletter.
Notes:		Anything else you'd like to tell us:
Wednesday, March 18, 2009 - departing 9:45 a.m. by bus from the San Diego Airport
Yes No		I will attend the field tour – no charge
		Flight number and airline - Please arrive by Southwest if at all possible. Flights 1011 and 137 arrive by 9 a.m. You will have to find your own transportation if you book a later flight.
		Contact phone – cell phone to contact on the day of travel
		If joining the tour en route - you must specify where and when you will be riding the bus, so we can make sure you have a seat. Do not complete if you plan to be on the bus at the San Diego Airport.
	$15	Please order me a box lunch - add $15 Select box lunch choice: Turkey Roast Beef Vegetarian None
	$25	Please order me dinner at Barbara Worth Golf Resort – add $25
Thursday, March 19, 2009 – 8 a.m. to 2 p.m. – return to San Diego Airport by 4:30 p.m.
		I will attend the meeting - no charge.
	$15	Please order me a lunch (buffet with vegetarian options) - $15
Yes No		I will ride on the bus on the return trip to San Diego Airport
Payment Method:
		I will be paying by: Select One: credit card check complimentary registration
		What is the name on your credit card?
Total Due:		.

Confirmations will be e-mailed prior to the meeting to those who provide e-mail addresses

No refunds after March 13, 2009.