Donation Form

Welcome to the ticket registration for the highly anticipated 2024 Water Quality Conference, hosted by the Indian River Lakes Conservancy! Join us for our seventh annual gathering, set amidst the picturesque Trailside Learning Classroom at the scenic Redwood Hill Preserve. Your ticket not only grants you access to insightful discussions and workshops but also includes a delectable lunch experience. We strive to accommodate all dietary needs; kindly email your restrictions to [email protected] along with your preferred name and title for your personalized name tag. We are thrilled to welcome you and look forward to your participation in this vital conference. See you at the event!

Donation

Amount

$45 (Registration)

$100 (Registration and $55 donation)

Contact Information

Professional Title

First Name

Last Name

Organization/Company

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Lake Association

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Indian River Lakes Conservancy and I will donate $0.00.No. I will donate $0.00 and Indian River Lakes Conservancy will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

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Terms/Conditions
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