2014 Conference Registration

Badger State Conference Registration

Please complete the registration form below. After clicking the "Submit & Pay" button below, you will be asked for payment. If you have any questions about registration, please contact Pam McCloud Smith at [email protected] or (608) 838-0413 ext. 111.

* Indicates required field

Name *

First

Last

Title *

Organization/Affiliation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Thursday Lunch (choose one): *

Turkey Sandwich Garden Vegetable Salad Veggie Hummus Wrap

Friday Lunch (choose one): *

Turkey Sandwich Garden Vegetable Salad Veggie Hummus Wrap

Will you be attending the Networking Reception on Thursday at Aldo Leopold Nature Center? *

Yes No

Submit & Pay