Registration Form

Utah Ornithological Society
Annual Fall Conference
November 7-9, 2003
Program description




Please print this form out; fill in the blanks and mail to:
Jeanne Le Ber
UOS Annual Conference
550 South 400 East #3407
Salt Lake City, UT 84111




Name __________________________________________________

Address __________________________________________________

City/State/Zip ____________________________________________

Telephone _________________________________________________

Email ______________________________________________________


UOS Member: ___ Yes      ___ No (membership is not required to attend)

Conference registration fee:
   $15 without box lunch
   $23 with box lunch, indicate preference below

Please make check payable to:
Utah Ornithological Society

Registration deadline is Thursday, October 30.

For our planning purposes and to better serve you, please indicate if you will be attending the following food events and if you want to order a box lunch.

    ____ Friday evening reception

    ____ Saturday morning continental breakfast

    ____ Saturday box lunch ($8.00); please indicate by circling if you want meat or vegetarian lunch




___  Yes, I want to participate in the Birder’s Hour. My phone number is ______-______-____________.