Request to Be Added to Conference Interest List

From Stem to Stern
Boating and Waterways
Management in Florida

November 1-3, 2006
Hilton Cocoa Beach Oceanfront, FL

Interested in attending the Boating and Waterways Management Conference?

Please fill out and submit this form and you will be added to the symposium interest list, which will keep you updated on the symposium through both email and mail.

(Note: All fields are required, if necessary, you may enter "None" or "NA" into a field.)

First Name: 
Last Name:


Mailing address:

Zip/Postal Code:  
Phone number:
FAX number:
Email address:

  (Type carefully, typos may result in your not receiving future correspondence.)

Any comments or remarks you would like to submit:

Any other questions should be referred to Tracy Nininger, Conference Coordinator
at 352-392-5930, Fax: 352-392-4044, Email:

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