paper registration form - American Trails

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Pay by check, credit card (Visa or. MasterCard only), or purchase order. (PayPal accepted for online registrations.) Cas
American Trails

2017 International Trails Symposium

ONSITE MOBILE WORKSHOP REGISTRATION

Last Name ____________________________ First Name _____________________________________________________ Title _________________________________ Representing ___________________________________________________ Address _____________________________________________________________________________________________ City _________________________________ State/Province _____________ Zip ______________Country ____________ Phone _______________________________ Fax ______________________ Email _______________________________ Emergency Contact: Name ________________________________________ Phone _______________________________ AMERICAN TRAILS MOBILE WORKSHOPS

Sunday · May 07 ❏ 1. Bike the Arts! ❏ 2. Exploring the Epicenter of Our Nation's Long Distance Trails

$15

$_____

$60

$_____

❏ 3. Twin Valley Tour: How Protecting a Natural Resource Created an Opportunity to Connect People to Nature ❏ 4. Link Bike Share Tour of Dayton ❏ optional bike rental ❏ 5. Touring the Equine Trails System at Caesar Creek ❏ 6. Yellow Springs – Bike or Hike ❏ Bike ❏ Hike

❏ ❏ ❏ ❏ ❏

7. Diamond Pier Installation 8. Experience Cedar Bog Nature Preserve 9. Learn to Row 10. Miami County Riverway Experience: Home, Grown, Great 11. Miamisburg Peddle, Paddle, Partnership 12. Slow Roll-Fast Tracks – Xenia to Wilberforce 13. Solving Hard Surface Trail Problems 14. Trade, Trails, and Travel 15. Trail Run at Hills and Dales

Full payment required for processing. Forms received without payment or government Purchase Order will be returned unprocessed. TOTAL FEES PAID:

$35 $_____ $15 $_____ Included $175 $_____ $50 $_____ Included

$___________

Questions? Phone Jeff Malik (937) 303-1194 If paying by credit card:

❏ Visa

❏ MasterCard

_______________________________________________________ CARD# ________________ EXP DATE

Tuesday · May 09 ❏ ❏ ❏ ❏

FEE PAYMENT

$55 $55 $12

$_____ $_____ $_____

$35 $50 $46 $50 $35 $12

$_____ $_____ $_____ $_____ $_____ $_____

________________ SECURITY CODE

_______________________________________________________ PRINT NAME ON CARD ___________________________________ SIGNATURE

________________ DATE

THANK YOU! Please make check payable to AMERICAN TRAILS and mail to: P.O. Box 491797, Redding, CA, 96049-1797. Form may also be faxed in if paying by credit card to: (530) 547-2035, or you may include payment on the registration form.

NOTES AND POLICIES Register by fax, mail, or online at www.americantrails.org. Form may be copied. Only one registrant per form allowed. Full payment is required for processing. Forms received without payment or government Purchase Order will be returned unprocessed. Pay by check, credit card (Visa or MasterCard only), or purchase order. (PayPal accepted for online registrations.) Cash will not be accepted, except on-site. You will be provided with a confirmation to verify your registration details. Please allow two weeks, unless you register online. If you need special accommodations, write or call the American Trails office at [email protected] or (530) 605-4395 at the time of registration, or by May 1.

CANCELLATION POLICY: Cancellations for registration and pre-reserved functions and activities must be in writing and postmarked by April 7. All written cancellations are subject to a $25.00 processing fee. No refunds will be issued on requests postmarked after April 7. If minimum attendance numbers are not met, the Symposium organizers reserve the right to cancel any activity. If applicable, a full refund will be issued. Refunds will be issued within 30 days after the Symposium. American Trails does not discriminate on the basis of race, color, sex, national origin, religion, age, or ability.