REGISTRATION- SOUTHWEST CONFERENCE on BOTANICAL MEDICINE
April 5 & 6, 2008  Tempe, Arizona  (Click here to go back to general conference information)

Register by mail:  SCBM Registration Office P.O. Box 3427 Ashland, OR 97520
Fax: (952) 255-3016   Phone: (800) 252-0688  Online registration

This form registers you for the conference and optional meals. 
For lodging, call Dobson Ranch Inn (800) 528-1356- ask for group rate- group #803202

NAME ______________________________ PHONE (W) _____________________

ADDRESS ___________________________ PHONE (H) ______________________

CITY _______________________________ STATE _______ ZIP________________

REGISTRATION FEE: 
___ $295 (includes all lectures, the panel and outdoor activities) 

CONFERENCE: MEALS: due by March 27
___ $39 (3 meal pkg: Sat. lunch & dinner, Sun. lunch) 

FRIDAY FIELD STUDY April 4, 9 AM- 3:30 PM  (Choose one.) 
___ Boyce Thompson Arboretum- Cascade Anderson Geller
___ Picketpost Trailhead- Mimi Kamp

PAYMENT SUMMARY:
Conference registration fee       ____________
Meals                                      ____________
Field Study                               ____________
                                TOTAL    ____________
    
PAYMENT METHOD:
___Check - to SCBM Registration (US$ please) 
___Credit Card (VISA, MC, AMEX, Discover)   
Card # _____________________________________________ exp. ______
    
Cancellation policy: If cancellation is received in writing by March 27, all fees 
will be refunded minus $50 processing per registrant. No refunds can be given after 3/27/08.
Questions?  call (800) 252-0688 or email us and we will be happy to help!  Thank you.