Please submit this form to:
(either print out and fill out in pen, or you can fill out
the form on the web and hit the submit button at the bottom:

Craig Dremann, The Reveg Edge, Box 609, Redwood City, CA. 94064 (650) 325-7333

PRICE: $250 per person attending the workshop in California.
Outside of California, price is $350. Price includes lunch.

Name of participant:
Department:
Agency:District:
Address:
Town: State: Zip:
Email (important):
Phone:

Check below which workshop the participant will be attending:
(Note: The title of the Caltrans District workshops is "NATIVE PLANTS FOR ROADSIDES ")

---- Caltrans District 1: Tuesday August 15, 2000 - Eureka - completed.
---- Caltrans District 2 & 3 combined: Tuesday Sept.12, 2000 - Yuba City - completed
---- Caltrans District 4: Tuesday August 8, 2000 - San Ramon - completed.
Caltrans District 5: Ask - 2001 - San Luis Obispo
Caltrans District 6: Ask - 2001 - Fresno
Caltrans District 7: Ask - 2001- Agoura Hills
---- Caltrans District 8: Tuesday May 16, 2000 - San Bernardino - completed.
Caltrans District 9: Ask - 2001 - Bishop
Caltrans District 10: Ask - 2001 - Modesto
--- Caltrans District 11: Thursday September 28, 2000, 2000- San Diego-completed
--- Caltrans District 12 -- combined with District 11 above.
---- Caltrans SACTO. HQ: Wednesday June 14, 2000 - Davis - completed.

----DELAWARE: Tuesday October 17 - Dover - completed

PAYMENT: Credit card (call 650-325-7333 with number), Revolving fund check
Purchase order , Other (describe)

WHO WILL BE PROCESSING YOUR REGISTRATION?:
1.) Your local or district training coordinator? If yes, check here:
Name: Phone:
2.) The HQ Office of Training? If yes, check here:
3.) Other? Please give name and phone number below:
Name: Phone:


PLEASE COMPLETE THE SURVEY as your response is used to set the agenda.

Thank you.