Online Registration Form for sites in
South Carolina for the
Master Wildlifer Program
2005
 


(Fields marked with * are necessary fields)

*Name:  
*
(Please print name as you would like it to appear on your nametag.)

*Mailing Address: * 

*City:
*
State
Zip

Daytime Phone Number:
( ) - -

Email Address * 
Spouse Name:
(if attending)


*Location I will attend:
*

*Registration: Registration Fee ---- $140
Spouse Fee --- $60
  Total due $ to Clemson University* 

*Credit Card: * 

*Card Number: - - - * 

*Expiration Date: - * 

*Name of Cardholder: * 

Note: Please be patient and press the Submit button only once. If you press the submit button twice, your credit card will be charged twice

 

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