Registration Form
Name_____________________________________________________________________________________
Affiliation__________________________________________________________________________________
Address___________________________________________________________________________________
Country___________________________________________________________________________________
Daytime Telephone_____________________________ Fax _________________________________
E-mail_____________________________________________________________________________
Please select from the following:
__ Full registration
- $150
(3
day program, reception Friday, refreshments and lunch Saturday and Sunday)
__ One day
registration - $75
__Friday
(includes reception) __Saturday
(includes lunch) __Sunday
(includes lunch)
__ Optional
dinner program - $40 per person # of guests ____
(reception,
pin swap, book sale & signing, dinner, live auction)
__ I would like to receive directions to the National Arboretum
My food preference is: __Vegetarian __Non Vegetarian
Do you require special accommodations
(other than food or hotel)? __Yes
__No
________________________________________________________________________________
________________________________________________________________________________
Mail registration form and payment to:
U.S. National Arboretum
Attn: Program Coordinator
3501 New York Avenue, NE
Washington, DC 20002