All cancellations must be in writing. Refund Policy; 14 days or more full refund, less administrative fee of $25; less than 14 days no refund.
For information contact Staci Markos
(510) 643-7008
Email:
smarkos@socrates.berkeley.edu
Please make checks payable to the Friends of the Jepson Herbarium. Return the registration form to: 1001 Valley Life Sciences Building #2465, University of California, Berkeley, CA 94720-2465.
Name (s) __________________________________________
Address __________________________________________
City _______________________ State & ZIP ___________
Phone (W) __________________ (H) __________________
Email address ______________________________________
Dietary restrictions and/or special needs _________________
Please check all applicable boxes:
(See above for fees)
Open House: [ ] I plan to attend $ N/C
Symposium: [ ] Registration $______
Anniversary Banquet: $______
Dinner Selection:
[ ] California Chicken
[ ] Vegetarian Pasta
Botanical Field Trips:
$______
[ ] Point Reyes
[ ] Mount Diablo
[ ] Santa Cruz Sandhills
[ ] East Bay Cryptogams
[ ] Habitat Restoration
Amount enclosed: $______
Credit Card:
[ ] Visa [ ] MC Account #:
___________________________
Signature: _________________________ Exp. Date: ______