Seven Hills Regional User Group for GIS Second Annual GIS Workshop
 "Expanding our Boundaries"


Workshop Registration Submission Form

Submission Deadlines:
November 11, 2003 - November 21, 2003

- Late Registration

$100.00

 

** PLEASE NOTE: **
There will be NO credit card payment at On-Site Registration!


Instructions: 
When paying by Check, Money Order or Purchase Order, please fill-in, submit and print out this form to mail along with payment to the address below.

When paying by Credit Card via PayPal please fill-in and submit this form.  You will then complete the payment transaction.

Attendee
First Name:
Attendee
Last Name:
Title:
Organization: 
When registering multiple attendees you must fill out a registration form for each attendee or use the Group Registration Form.

If different than attendee:
Billing
First Name:
Billing
Last Name:
Address:
Telephone:
Fax:
E-Mail:
Please check one of the following.
Paying via:

Credit Card (PayPal) 
Check 
Money Order 
Purchase Order? 
Please check T-shirt size preference: Medium
 Large
X Large
XX Large


How did you hear about SHRUG?  

Did you attend the SHRUG Workshop last year?
Yes  No
What types of GIS software do you use?
Use 
   ESRI
   MapInfo
   AutoCAD
   Microstation
What is your GIS skill level?
  Beginner
   Intermediate
   Advanced


 


 For more information regarding Workshop Registration please contact Jim Mitchell jpmitchell@pbsj.com (850) 575-1800 ext. 7863
If you encounter problems using the PayPal web site, please contact PayPal Customer Service at (888)-221-1161.