2008 SHRUG GIS Work Shop
"GIS Revolution"
November 19th-20th
Training
Technical Presentations
Poster Gallery
Social Events
Vendors
Guest Speakers

SHRUG Workshop logo - GIS Revolution

 

 

The Seven Hills Regional User Group for GIS
 Third Annual GIS Workshop
"Mapping our Future"

2004 SHRUG Workshop GROUP Registration Form
 To register Groups by submitting payment via Check, Money Order, PO, or Credit Card.
Reminder:  Workshop Registration and Training Registration are separate forms.  If you are attending training you must register for the training course separately.

BILLING INFORMATION
Billing First Name:
Billing Last Name:
Billing Address 1:
Billing Address 2:
Billing City:
Billing State:
Billing Zip:
Billing Phone:
Billing E-mail:

Billing Credit Card Type:
VISA MC AMEX PO Vendor
Account Number:
Expiration Date:
VIN Number:
[Front of AMEX, back of VISA/MC]



ATTENDEE INFORMATION
Attendee First Name:
Attendee Last Name:
Attendee Organization:
Attendee Title:
Attendee Address 1:
Attendee Address 2:
Attendee City:
Attendee State:
Attendee Zip:
Attendee Phone:
Attendee E-mail:

T-Shirt Size: S M L XL XXL
2002 Attendee?
2003 Attendee?
GIS Experience:
Newbie: This is all new to me
Geek: I have GIS experience
Guru: People ask me for help
Years using GIS?
Presenting? Yes No
Receive Vendor Info?
Yes No
[ In an effort to assist in requests from our GIS Sponsors, we will provide contact information to them only about our attendees to receive information about their products and services.  If you wish to opt out of this information, please select "No". ]


ATTENDEE 2 INFORMATION

Attendee 2 First Name:

Attendee 2 Last Name:

Attendee 2 Organization:

Attendee 2 Title:

Attendee 2 Address 1:

Attendee 2 Address 2:

Attendee 2 City:

Attendee 2 State:

Attendee 2 Zip:

Attendee 2 Phone:

Attendee 2 E-mail:

T-Shirt Size: S M L XL XXL
2002 Attendee?
2003 Attendee?
GIS Experience:
Newbie: This is all new to me
Geek: I have GIS experience
Guru: People ask me for help
Years using GIS?
Presenting? Yes No
Receive Vendor Info?
Yes No
[ In an effort to assist in requests from our GIS Sponsors, we will provide contact information to them only about our attendees to receive information about their products and services.  If you wish to opt out of this information, please select "No". ]


ATTENDEE 3 INFORMATION

Attendee 3 First Name:

Attendee 3 Last Name:

Attendee 3 Organization:

Attendee 3 Title:

Attendee 3 Address 1:

Attendee 3 Address 2:

Attendee 3 City:

Attendee 3 State:

Attendee 3 Zip:

Attendee 3 Phone:

Attendee 3 E-mail:

T-Shirt Size: S M L XL XXL
2002 Attendee?
2003 Attendee?
GIS Experience:
Newbie: This is all new to me
Geek: I have GIS experience
Guru: People ask me for help
Years using GIS?
Presenting? Yes No
Receive Vendor Info?
Yes No
[ In an effort to assist in requests from our GIS Sponsors, we will provide contact information to them only about our attendees to receive information about their products and services.  If you wish to opt out of this information, please select "No". ]


ATTENDEE 4 INFORMATION

Attendee 4 First Name:

Attendee 4 Last Name:

Attendee 4 Organization:

Attendee 4 Title:

Attendee 4 Address 1:

Attendee 4 Address 2:

Attendee 4 City:

Attendee 4 State:

Attendee 4 Zip:

Attendee 4 Phone:

Attendee 4 E-mail:

T-Shirt Size: S M L XL XXL
2002 Attendee?
2003 Attendee?
GIS Experience:
Newbie: This is all new to me
Geek: I have GIS experience
Guru: People ask me for help
Years using GIS?
Presenting? Yes No
Receive Vendor Info?
Yes No
[ In an effort to assist in requests from our GIS Sponsors, we will provide contact information to them only about our attendees to receive information about their products and services.  If you wish to opt out of this information, please select "No". ]

MAIL TO:
SHRUG, Inc.
Attn: Workshop Registration 
PO Box 3887
Tallahassee, FL 32315-3887

 For more information regarding Workshop Registration please contact Patrick Pence registration@shrug-gis.info (850)891-4941