Registration Climate Stewardship Conference




			Welcome to Prairie Climate Stewardship Network

				Engaging the faith community in climate stewardship

Registration Form

Prairie Climate Stewardship Conference

Energy and Agricultural Solutions for North Dakota

July 10 & 11

University of Mary Campus, Bismarck

7500 University Drive Bismarck, ND 58504

Starting: 9 a.m., Thursday, July 10th.

Concluding: 2:30 p.m., Friday, July 11th.

First Name

Last Name

Address

City

State

Zipcode

Phone Number

E-mail Address

Please select one of the following affiliations:

Private Sector / Registration Fee: $50

Government /Registration Fee: $30

Nonprofit / Registration Fee: $30

Community / Registration Fee: $30

Name of institution/organization:

For participants from rural communities and churches only.

Please inform me if scholarships become available.

Please indicate your choice of topic for the Friday morning resource presentation and strategy discussion:

Communities and Local Governments

Green Buildings and Energy Efficiency

Educational Institutions (higher education and K-12)

Farmers, Ranchers, Sportsmen and Conservation Groups

Engaging Youth

Lodging: Arrangements will be made for *lodging on campus.

I would like lodging for:

Wednesday Night (July 9th) and Thursday Night (July 10)

Thursday Night only (July 10)

I will be attending the conference with others and would like to share a room with a friend (2 people per room)

**Name of friend registering

Phone number

E-mail Address

*Lodging on campus is air-conditioned and linen is provided.

Single: two people per suite (each with own room)

Double: four people per suite (2 people per room)

Each suite has 2 rooms with shared bathroom

Participants preferring off-campus lodging will have to make their own arrangements and pay for their own lodging.

**We request this information so we can make and reconfirm the requested arrangement.

Meals

I plan on having the following meals at the conference:

Thursday July 10

Breakfast

Lunch

Reception

Dinner

Friday July 11

Breakfast

Lunch

If you would prefer vegetarian meals, please check this box

Please register by June 23, 2008

Please make checks payable to and mail to:

Prairie Stewardship Network

9195 70th Avenue SE

Ashley, ND 58413

Questions? Call 701-647-2532 or e-mail psn@prairiestewardship.org

Please note that conference organizers do not share contact information provided by participants.

Conference Agenda and Speakers

Interested in sponsoring the conference and being listed as a sponsor?

Please contact Renee Gopal at 701-647-2532 or via e-mail.