Text Box: 22nd REGIONAL AQUATICS WORKSHOP (RAW 2008) REGISTRATION,
LONG ISLAND, NY, JUNE 16-19, 2008

 

To register for the Regional Aquatics Workshop (RAW), please print this form, complete it and mail it

with payment to the following address:

 

Joe Yaiullo

RAW 2008 Conference Registration

Atlantis Marine World                                        

431 East Main St                                              

Riverhead, NY 11901                                        

 

Or fax registration form with credit card info to: Loretta Greif at 631-208-0466.

Email: lgreiff@amwny.com to verify secure transmission of information.

 

Full Name:

Name as it should appear on badge:

Institutional or business affiliation:

Address:

 

City:                                 State:                       Zip/Postal Code:                       Country:

E-mail:

 

Telephone:                                                        Fax:

RAW Conference

Before May 1st, 2008 (fee per person)    

____$50 Public Aquarium or Non-profit affiliate

____$150 Commercial Affiliate

____Waived Third tier sponsor

 

After May 1st, 2008 (fee per person)

____$75 Public Aquarium or Non-profit affiliate

____$185 Commercial Affiliate

____Waived Third tier sponsor

Indicate if you will be attending:

___AZA TAG Meetings (Jun 16)

___General sessions (Jun 17-19)

___Wine & Cheese (Jun 16 evening)

___Cocktail Hour and Dinner (Jun 17 evening)

___Olympics and BBQ (Jun 19 PM)

 

 

Form of payment:

____Check (make checks payable to:  Atlantis Marine World)

____Credit Card (circle one):    Visa      Mastercard      American Express     Discover

 

Print name as it appears on the card:

Credit Card Number:                                             

Expiration Date:

 

Signature:

 

Registration fee covers meeting materials, program, breaks, evening events, bus trips.

Please use one form per attendee.

Deadline for early registration is May 1st, 2008.

No cash please.