1st Water Management, Operation and Maintenance International Seminar and Study Tour
Registration Form
POSTPONED to 2010
Dates to be determined
1st Water Management Seminar and Study Tour Information
Please return this form to the Bureau of Reclamation, International Affairs - Denver, P.O. Box 25007, Denver, CO 80225, by fax number (303) 445-6322 or e-mail to lprincipe@usbr.gov. Registration fee for seminar and study tour is $3,600.
Name____________________________________ Passport Number ___________________________ Title or Position_____________________________ Birthdate __________________________________
Agency/Organization___________________________________________________________________ Office Mailing Address_________________________ City/Country_______________________________
E-mail address____________________ Office Telephone__________________Fax_________________
Home Telephone (for emergencies) _______________________________________________________
HOTEL ROOM PREFERENCES: Arrival date __________________ Departure date__________________
Single___ Double___ Smoking___ Non-smoking____
If double, Roommate name: ___________________________
Do you require any special services, i.e. dietary restrictions or accommodations for a disability or impairment? (Please explain your needs)
Optional tour of Rocky Mountain National Park (no cost to you).
_____ Yes _____No
PAYMENT METHOD: Please note -- Funding is not available from the Bureau of Reclamation. You must seek private sponsorship, if needed. Prepayment must be made by bank check, credit card, or wire transfer to address given below. Please indicate your payment method:
1. _____ Bank Check2. Credit Card Number________________________________________
Name on the card ___________________________________Expiration Date _______________
3. ______Wire transfer (If paying by wire transfer the seminar cost is US$3625). Please provide the following information to your bank)
1) Bank: Treasury NYC (Federal Reserve Bank)
2) City: New York City, New York
3) ABA: 021030004 (Bank identifier)
4) ALC: 14060905 (Reclamation’s Account Number)
5) Reference: International Water Management Workshop
Last Reviewed: September 17, 2009