Online Registration

Name(s):

*

Street Address:

*

City, State, Zip:

* * *

Email address:

Registration for Friday night program (dinner not included) and Saturday field trips ($5 per person)

# in party: * x $5.00 = *

Dinner reservations ($10 per person)

# in party: * x $10.00 = *

Total = *

Payment Method:

*

* Required Fields

By choosing to pay by Check, please follow the instructions at the bottom of the next page.

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Field trip leader dinner reservations (no charge)

Check here if you are a field trip leader

Field Trip Dinner: Yes No

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You can also register by downloading and printing the registration form and send it to:

Carrie Sparks
301 Look Avenue
Marion, VA 24354

Please make all checks payable to:

Mount Rogers Naturalist Rally