Promoting Nature Tourism along the Mississippi River
A Workshop on Economic and Community Development
Registration Form

Name: _____________________________________________________________

Address: ___________________________________________________________

____________________________________________________________________

E-mail: _____________________________________________________________

Organization: ________________________________________________________

Phone: ______________________________________________________________

FAX: ________________________________________________________________

Apr. 26th Concurrent Field Trip Preference: (Circle Number) 1. Tara Wildlife 2. Poverty Point State Historic Site/Tensas National Wildlife Refuge 3. Walking or Buggy Tour of Historic Downtown Vicksburg

(Note: A modest additional charge may be required to offset field trip transportation costs.
These charges, if any, may be paid after arrival in Vicksburg.)

Special Dietary or Accessibility Needs: ______________________________________

________________________________________________________________________

Please mail a check for $50.00 payable to Audubon Mississippi along with your completed registration form to:

Ms Christy Guizerix
Audubon Mississippi
1208 Washington Street
Vicksburg, MS 39183

To assist us with workshop planning, we request that you register as soon as possible. It may not be feasible to accommodate field trip preferences after March 31st. Thank you for your interest!”