Registration Form

	2013 Watershed Day in the Capitol
 California’s Watersheds:  Our Landscapes - Our Future

Wednesday, April 24, 2013

8:30 am – 12 Noon
CalEPA Building
1001 I Street
Sacramento, CA

Meetings with Legislators at the Capitol from Noon – 4:00 pm
Make your appointments, and bring them a picture of your watershed!

Name:  		
Title:  		
Agency/Organization:		
Address:	

 Phone:  		
E-mail:		

Registration Fee

	Please Check Box 	
Registration after April 1 	$40.00		

Please mail this registration form with a check made out to “California Watershed Network” to:

California Watershed Network 
9840 La Amapola
Fountain Valley, CA  92708 

<<Click here for PAYPAL payment option>>

Questions?    Contact Michael Wellborn at 714.928.8689 (michael@watershednetwork.org)