REGISTRATION FORM

Please mail or fax the registration form below to:

1999 Biennial Forum
PO Box 510165
Milwaukee, WI 53202

fax without a coversheet to (414) 483-3810
questions - (414) 271-7280


Name ____________________________________
For Group Presentations, list names here:
___ Student ___ Teacher ___ Grade Level ___________________________________
School ___________________________________ ___________________________________
Teacher's Name ____________________________ ___________________________________
Address __________________________________ ___________________________________
City _____________________________________ ___________________________________
State/Province ______ Zip/Postal Code _________ ___________________________________
Telephone ____________ Fax ______________ ___________________________________
E-mail ___________________________________ ___________________________________
 
We/I want to participate in the:
____ Policy Presentations _____ Get to Know the Great Lakes Exhibits
 
Our/My presentation will explore:
___ Clean Technology ___ Exotic Species ___ Fish Decline ___ Lake Levels ___ Remedial Action Plan ___ Brownfields
 
Our/My exhibit will be about Lake:
___ Erie ___ Huron ___ Michigan ___ Ontario ___ Superior
 
This is a ___ Group ___ Individual Presentation
   
___ Yes We're/I'm interested in the boat tour.
___ I'm interested in teacher workshops   ___ We're /I'm interested in travel scholarships
The important points of our/my presentation are:







Confirmations will be mailed during the month of August - including information on shipping exhibits. A list of registered participants will be maintained on the website.