REGISTRATION FORM AND INFORMATION

To register for the December 1-3, 2010 New Mexico Water Conference, complete the following form. After completing the form, click the register button at the bottom to submit your registration. Registration fee includes all conference functions and a copy of the proceedings on CD to be published after the conference.

NAME AND ADDRESS:

First Name

Middle Initial

Last Name

Name as you want it to appear on your badge

Affiliation/Agency

Department/Mail Code

Address

City

State Zip

Email address

Telephone – – Fax – –

REGISTRATION FEE:

-- $250 Full Registration (from Nov 18 through Dec 3, 2010)

-- Full-time Student Registration - $75

-- Number of ADDITIONAL Luncheon tickets for guest/s - $40/each

TOUR:

-- I will be attending the Wednesday afternoon TOUR on December 1, 2010.

PLEASE INDICATE YOUR METHOD OF PAYMENT:

-- Personal Check (Make checks payable to NMWRRI-2010 Water Conference)
-- NMSU Index and Fund Number
-- Purchase Order Number
-- Credit Card. We are ONLY able to accept VISA, Master Card , or Discover Card. This is NOT a secure server and you must either mail this form (including your card number and expiration date) OR call our office at 575-646-4337 with your credit card information.

NM WRRI MAILING ADDRESS:
New Mexico Water Resources Research Institute
MSC 3167
New Mexico State University
PO Box 30001
Las Cruces, NM 88003-8001

FAX NUMBER:
You can fax your registration form to us at 575-646-6418

IF YOU HAVE QUESTIONS REGARDING REGISTRATION:
Please contact Peggy Risner at 575-646-4337 or by email at prisner@wrri.nmsu.edu

If you receive an "Internal Server Error" after hitting the "REGISTER" button, do not worry, we are still receiving your registration information. To confirm your registration, please contact Peggy Risner at 575-646-4337 or at prisner@wrri.nmsu.edu.

Thank you.

REGISTRATION FORM AND INFORMATION

If you receive an "Internal Server Error" after hitting the "REGISTER" button, do not worry, we are still receiving your registration information. To confirm your registration, please contact Peggy Risner at 575-646-4337 or at prisner@wrri.nmsu.edu. Thank you.

If you receive an "Internal Server Error" after hitting the "REGISTER" button, do not worry, we are still receiving your registration information. To confirm your registration, please contact Peggy Risner at 575-646-4337 or at prisner@wrri.nmsu.edu.

Thank you.