Highlight this Free Registration Form, copy it, and paste it into an e-mail to Jodi Snyder, Executive Director, Pennsylvania Ground Water Association.  Click here for e-mail to Jodi Snyder.

I am registering for the PGWA Summer Field Conference in Dillsburg, PA.  I qualify for a free registration.

Name:  

Title:   

Agency, Association, Municipality or Institution:  

Street Address: 

City, State, Zip:              

E-mail Address:  

We need your e-mail address to send a registration confirmation to you.  If you do not have an e-mail address, please submit your fax number.  We will not release or disclose your e-mail address.                  

Please check the boxes below for the meals and events you will attend:

□ Lunch on Friday, June 20, 2002

□ Lunch on Saturday, June 21, 2002

□ I will attend the ground-water flow model training on Saturday

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Last modified: July 21, 2008.