GLREA

Renewable Energy Introductory Seminars
Online Registration Form

Date:	January 26th, 2008 (9 am - 5pm)
Place:	Grand Rapids Community College Tassell MTec, 622 Godfrey SW Grand Rapids, Michigan

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
	One Seminar $20 Two Seminars $30 Three Seminars $40		One Seminar $30 Two Seminars $40 Three Seminars $50

Select Seminars *

Solar Water & Space Heating Systems
Solar Photovoltaic Electricity
Wind Electricity

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.