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The 21st Annual International Conference on Soils, Sediments, Water, and Energy, March14-17, 2011
Mission Valley Marriott, San Diego, CA
ON-LINE REGISTRATION IS AVAILABLE AT www.aehsfoundation.org
1. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION, AS YOU WOULD LIKE IT TO APPEAR ON
CONFERENCE LITERATURE AND BOOTH SIGNAGE:
Company Name (exactly how it is to appear on booth signage)____________________________________________________
Address _______________________________________________________________________________________________
*If your company is interested in becoming a Supporter, Sponsor, or Special Session Sponsor of the West Coast Conference,
please contact Brenna Lockwood at 413-549-5170, brenna@aehsfoundation.org or visit our website, www.aehsfoundation.org
4. PLEASE LIST NAME (and affiliation if different from above) OF PERSONS ATTENDING AS BOOTH STAFF:
5. LUNCH OPTION: lunches are not included with the booth package and must be purchased separately. Luncheons are $32.25
per person and may be purchased on site at the conference.
Cardholder Name_________________________________________________________Date________________________________
FAX OR MAIL FORM TO: AEHS Foundation, Brenna Lockwood, 150 Fearing Street, Suite 21, Amherst, MA 01002 Telephone: (413) 549-5170 Fax:
(413) 549-0579
CANCELLATION POLICY: Cancellations received in writing on or before January 31st will receive a full refund minus $100 processing fee. Refunds will not be
issued for booth spaces cancelled after January 31st.