GLREA

Intermediate Solar Heating Seminar
Online Registration Form

Date:	Saturday, December 6th, 2008
Place:	Woldumar Nature Center Rock Room 5739 Old Lansing Rd. Lansing, MI 48917

Please fill out the registration form below. Once submitted, you will have the payment options of either using a major credit card through an online secure server or check/money order through the mail. * = required.
* Registration is for the following:
GLREA Member Pricing		General Pricing
	Seminar $65		Seminar $80

Name *

GLREA Member *

Yes No

Company/Organization

E-Mail *

Address *

Address 2

City *

State *

Zip Code *

Country *

Day Phone *

Evening Phone *

Payment Method Will Be *
(Mac users please select check or money order)

Credit Card
Check or Money Order

:: Mac users :: Due to technical difficulty with the credit card processor,
we are unable to process your payment online if you're using any browser on Mac OS. Please send a check or money order.