May 11-13 (Friday late afternoon through Sunday), 2007 at Lost Valley Educational Center, Dexter, OR

For easiest online registration, please fill out the form here [0].

You may also copy and paste the text below into an email, complete and send to nature AT(replace with @) lostvalley.org, or print and send the completed form to Native Plants and Permaculture Registration, 81868 Lost Valley Lane, Dexter, OR 97431 USA.

Name:_______________________________________________________________
Address:_____________________________________________________________
_____________________________________________________________________ 
Phone(s):_____________________________________________________________
Email:________________________________________________________________

Conference Fees:
__$90 for full conference, Friday, May 11 through Sunday, May 13
--or, if registering for partial conference--
__$50 single full day: __Saturday, May 12 __Sunday, May 13
__$20 Friday, May 11 afternoon and evening only

Lodging: $30/night dormitory accommodations __Friday __Saturday __Sunday
--or--
$10/night camping spot __Friday __Saturday __Sunday
Total lodging/camping cost: $____

Organic Vegetarian Meals:
__$70/full weekend: Friday dinner through Sunday dinner, including breakfasts, lunches, and dinners
--or--
$30/day (includes breakfast, lunch, dinner): __Saturday __Sunday
breakfast: $8/meal: __Saturday __Sunday
lunch: $10/meal: __Saturday __Sunday
dinner: $15/meal: __Friday __Saturday __Sunday
Total meal cost: $____

Laura Kemp Concert (Sat., May 12, 8 pm, reserved, preferred seating; other attendance will be by donation):
__$10 (all proceeds to artist)

Nature Center Membership Contribution (receive e-newsletters and other member benefits, and help support the Nature Center):
__$25
__$50
__$100
__other: $____

Scholarship Donation (help others with limited funds attend this gathering):
__$25
__$50
__$100
__other: $____

Total of Conference Fees, Lodging & Meal Costs, Concert, Nature Center and Scholarship Donations: $____
Payment method: __check
__credit/debit card: Type:___________
Number:________________________
Expiration date:__________________
Name on card:____________________________

Additional Questions:
How did you hear about this event?__________________________________________ 
Carpooling Is Encouraged:
Can you offer a ride? (if yes: when, and from where?)_____________________________
Would you like a ride? (if yes: when, and from where?)____________________________
Do you have any additional suggestions or questions?_____________________________________________________________

If online, email, or postal mail registration is not possible or convenient for you, you may also call 541-937-2567 ext. 116. Payments may be made via check (payable to Lost Valley Center) or credit/debit card (by mail, over the phone, or online [1]; when paying online, please enter total payment under "other" in "Donation Amount" category, then select "Native Plants and Permaculture" under "Course Payments" pulldown menu).