2015 Mullan Road Conference Registration

2015 MULLAN ROAD CONFERENCE

                                              MAY 22-24 2015    REGISTRATION FORM

MONTANA AGRICULTURAL CENTER

1205 20^TH St.    Fort Benton, Montana    59442

Please print or attach a return address mailing sticker for your address:

Last Name____________________________________ First Name_______________________________________ 

Address ______________________________________________________________________________________

                  City__________________________________ State _________________  Zip_______________________

                  Phone _________________________  Email Address  __________________________________________

Full conference:

                  Includes:  Fri. Reception;   Sat. Conference, Lunch & Banquet;   Sun. Field Trip & Lunch - $75.00

_____________________________________________________________________________________________

Friday Reception - Bourgeois House – Old Fort Benton - 1900 River St. Yes ____  No____

               Saturday Conference; Meals –Montana Ag Center – 1205 20^th St.             $50.00  _______

               Sunday Field Trip with lunch                                                                        $25.00 _______

                                                                                                                 Total Remitted:                            _______

                 

Students – Middle School – College               No Charge  (without meals)                               

                                   

Make Checks payable to: River & Plains Society

                        Credit Card information: Name as appears on Card _______________________

                        Type of Card _________________

                        Number_____________________     Sec. Code______

                  Send Registration to: River & Plains Society – P.O. Box 262 – Fort Benton, MT 59442

                                                                                                  

Special Diet Requests   _______________________________________________________

    FB Lodging :  Grand Union – 406-622-1882                               Lark & Laurel B&B  - 406-403-3768

                             Pioneer Lodge – 1-800-622-6088                         Franklin Street Guest House – 406-733-2261

                             Fort Motel – 406-622-3312                                   River Guest House – 406-622-5298 or 406-622-5605

     Great Falls Lodging: La Quinta - 406-761-2600