2008 Water Quality Conference Registration Form

This form is for registering with a credit card only. In order for your registration to be valid, you must complete the online payment process beginning with Step 2 below. You may choose alternative registration options on the Conference Information and Registration page.

Please contact Gary Sturdivan at: 909-885-4900 for contact hour information.

Required Fields

Name of Organization

Last Name

First Name

Badge Name
(If different from above)

Title/Position

E-mail Address

Mailing Address

City

State

Zip

Telephone

Ext.

Fax

Contact Hours Credit

Contact Hours Credit
Please check the contact hours credit button if you wish to receive contact hours credit for attending this conference.
Please note that a $20.00 fee applies for this option.

Lunch Selection

Wednesday
10/15

Vegetarian
Marinated Tri-Tip Roast - Served in a tarragon bearnaise sauce
Herb Seared Alaskan Halibut - Served in oregano with olive tampenade

Thursday
10/16

Vegetarian
Herb Pork Loin - Served with porcini mushrooms and roasted tomato demi-glace
Ginger Grilled Tuna - Served marinated in thyme and ginger

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