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Registration
Symposium on Energy in the 21st Century April 20, 2018

First Name*
Last Name*
Email Address*
Company/Organization (if any)
Title
Address *
City *
State/Province*
Zip Code*
Work Phone
Mobile Phone
Early Registration (until March 21st)
Adult $60  
Student $40  
Limited Income $40   
 
After March 21st
Adult $75  
Student $50   
Limited Income $50   
 
Please consider being a student sponsor or patron.
We rely on our patrons & sponsors to bring you this Symposium
Sponsor one student $50   
Sponsor two students $100   
Patron $100   
Special Friend Patron $200   
 
For a tour, PLEASE CHECK ONE (buses provided)
**Fenner Wind Farm Tour $25  
 **SU School of Engineering Grid Lab $25   
**Tour of Anheuser-Busch Brewery & Sustainability $25   
**Onondaga Composting Faculty $25   
**Onondaga Lake Cleanup & Restoration $25   
**SUNY ESF: Wood Chips to Ethanol Process $25   
 
**TO PAY BY CREDIT CARD press submit, follow the next page
and add your total to the PayPal Cart.
You will have options to pay through PayPal or with a card
If you cannot attend, but would like to be a patron or student sponsor, click here
and you will be directed to the Donation Page 

 
*TO PAY BY CHECK,
press submit. Mail check.
Make check out to:
Energy21 Ltd
Mail to:
Dr. Rhea Jezer
Symposium
7426 Song Lake Road
Tully, NY 13159



CANCELLATION /CHANGE POLICY

Substitutions may be made in writing at any time. Cancellations must be submitted in writing by April 1st for refund. Send substitutions or cancellation by email to: rjezer@gmail.com

For billing questions contact Rhea Jezer rjezer@gmail.com. To become a sponsor with an ad in the program book, the website and on all mailings go to: www.energy21symposium.org and click on Sponsors.