Proposition 84 & Proposal Development Workshop August 22, 2007 Riverview Ranch, Fresno
Registration Form: Please Complete the Following Fields
name:
address:
city, state, zip
title:
organization:
phone:
fax:
email:
Central Valley Land Trust Council or California Council of Land Trust Members (includes board members and staff)
Other Organizations:
Total Cost:
Payment Option:
Please make check payable and send to:
Great Valley Center 201 Needham Street Modesto, CA 95354
Credit Card Information
Cardholder Name (as it appears on card)
Card Type
Card Number
Expiration Date (MM/YR)
If Check Payment is selected, please return form and registration by August 17th to Theresa Kiehn via mail (c/o Great Valley Center, 201 Needham Street, Modesto, CA 95354) or fax in registration to 209-522-5116 and bring check payment to event.