Symposium on Energy in the 21st Century April 21, 2017

First Name*
Last Name*
Email Address*
Company/Organization (if any)
Address *
City *
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   
 **Tour of Anheuser-Busch Brewery & Sustainability $25  
 **SUNY ESF: Wood Chips to Ethanol Process $25   
 **Onondaga Composting Faculty (NEW) $25   
 **Onondaga Lake Cleanup & Restoration (NEW) $25   

**TO PAY BY CREDIT CARD press submit, follow the next page and add your total to the PayPal Cart. You will have the option to pay through PayPay 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 
press submit. Mail check.
Make check out to:
Energy21 Ltd
Mail to:
Dr. Rhea Jezer
7426 Song Lake Road
Tully, NY 13159


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.