Southeastern Equestrian
Trails Conference 2002

Clemson Univeristy,
Clemson, South Carolina
July 25-28, 2002

Please fill in all required information as denoted by an asterisk *.

First Name *


Last Name *


Email Address


Name for Name Tag *


Organization / Company


Mailing Address *


City *


State *


Zip Code *


Business Phone


Home Phone *


(Gender and ethnic group information is not required, but it is requested by supporting public agencies and the Clemson University Extension Service.)

Gender:

Male Female

Ethnic Group:

Caucasian Afro-American Native American Asian Hispanic

Please indicate any special needs

Registration Fee *
The SETC 2002 Registration fee is:	$ 150	Before May 15, 2002
	$ 160	May 15 to June 15, 2002
	$ 170	June 16 to July 1, 2002
	$ 185	after July 1, 2002
(On-Line registration is not available after July 1, 2002. After July 1, please print this form and mail or fax it in.)

Payment Option *
My preferred payment option is by:	Credit Card
	Purchase Order
	Personal Check

The University accepts Visa or MasterCard.
You can also phone in your credit card info to the number listed below, or mail it to the address listed below if you prefer. Just be sure to check the "preferred payment option" choice above so we'll know what to expect.

Credit Card Number

Type of Card

Expiration Date

Or:

Company Purchase Order Number

Or:

Make checks payable to Clemson University and mail to:

Ms. Jean Richardson
Dept. AFW
Box 340362
Clemson University
Clemson, SC 29634-0362

Telephone: (864) 656-0319
Fax: (864) 656-5332
email: Jean Richardson (nrchrds@clemson.edu)