On Environmental Studies  
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SUMMIT REGISTRATION

Please print out this registration page, complete the form, and then mail it along with your check to the following address:

Attn: "Summit on Environmental Studies"
Environmental Studies Program - MC 4160
UCSB
Santa Barbara, CA 93106 - 4160

Make checks payable to UC Regents.

REMEMBER! To sign-up for the special sunset coastal cruise and whale watch trip on Thursday, Feb. 23rd, from 3:30 pm to ~5:30 pm you must reserve your ticket(s) ahead of time by clicking here. Payment for the cruise will be collected the day of the trip. Space is limited, so make your reservations ASAP. Questions about the cruise can be emailed to zimmerman@es.ucsb.edu .

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Santa Barbara Summit on Environmental Studies / Registration Form:

Name: ____________________________________________________________________________________

Affiliation/Institution: _______________________________________________________________________

Phone #: ____________________________ Email: ________________________________________________

Mailing Address: ___________________________________________________________________________

___________________________________________________________________________________________

# of Participants:
______ x $60 (before January 16th, 2006) = $ ____________
  ______ x $100 (After January 16th, 2006) = $ ____________
     
# of Student Participants:
______ x $30 (before January 16th, 2006) = $ ____________
  ______ x $50 (After January 16th, 2006) = $ ____________
    ------------------------------
 
TOTAL
= $ ____________

Make checks payable to UC Regents.