Bobwhite
and Rangeland Management Field Day
Escape Ranch,
Directions: Proceed to Kenansville and watch for signs. Additional directions will be posted on the
Florida SRM-Florida webpage (http://flsrm.ces.fau.edu/index.php).
Registration Form
(To print just the form, highlight it and > File > Print > Selection.)
Name(s)
_____________________________________________
Affiliation
____________________________________________
Address
______________________________________________
City,
State, Zip ______________________________________
Phone
Number _______________________________________
Registration Fee (Per Person) –
includes lunch
Before Oct. 25th $15.00 x _____ = $______
After October 25th
$25.00 x _____ = $______
Total Amount Due $______
(Onsite registration accepted)
Enclose check (payable to
TTRS), money order or provide credit card Information below
Visa/Mastercard
# ________________________________________
Expiration
Date ________________
Name
as it appears on card ________________________________________
Signature:
___________________________________________________________
Return
Form by October 22. 2007:
Bobwhite
and Rangeland Field Day
Tall Timbers Research Station & Land Conservancy
(850) 893-4153 phone (850) 558-7781 Fax