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Please print this page, complete the registration form and mail it with payment to the address below.

Name: _______________________________________________________________________________________

Organization: _________________________________________________________________________________

Mailing Address: ______________________________________________________________________________

                              ______________________________________________________________________________

City, State, Zip: _______________________________________________________________________________

Phone: _______________________________  Email: _________________________________________________

Amount Enclosed: $____________________ 

______ Yes, I prefer a vegetarian Meal

______ Yes, please sign me up for the complimentary reception and Poster Session, Wed., Oct. 21, 4:30 - 6:00 p.m.

20th Annual Special Feature:  (may be included in the Forum)

Where were you 20 years ago? What were you doing? Your predictions for 2029?

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Registration Fees

Registration fees include meals, breaks and reception.

Early Registration (by October 1).................................$100

Regular Registration (after October 1)........................$115

If invoicing is necessary, there will be an additional $20 fee.

Cancellation Policy: Before Oct. 1, full refund minus $20 processing fee; Oct. 1-15, 50% refund; no refunds issued after Oct. 15.

Payment Information

Send this form with a check or money order to

South Platte Forum

c/o Northern Water

220 Water Avenue

Berthoud, CO  80513

Sorry, we are unable to accept credit cards.

Registration Questions

Please contact Veronica Gomez at Northern Water.

Phone: 970-622-2322       Fax: 970-532-0942    

E-mail:  vgomez@ncwcd.org

Additional Information and Questions

For information on schedules, speakers, sponsors and posters, contact Jennifer Brown, South Platte Forum coordinator.

Phone:  402-960-3670  

E-mail:  jennifer@jjbrown.com

Forum Location & Hotel Information

Radisson Conference Center - 1900 Ken Pratt Boulevard—Longmont, CO—303-776-2000 - www.radisson.com/longmontco

The Radisson is offering a $99 nightly rate to Forum attendees. Call 800-333-3333 by Sept. 15 to make your reservation. Be sure to mention you’re with the South Platte Forum.

Please visit www.radisson.com/longmontco for directions to the Radisson Conference Center.