OMR Workshop Registration Form

First and Last Name:            Phone Number:

Address: City:State:Zip:

Affiliation:   Lead Agency Select from list... Mine Operator Consultant General Public/Interested Party Other     Company/Agency:             

Your Title:     Email Address:

Which Workshop would you like to register for?  You can only register for one workshop at a time.

Principles and Practices of Revegetation for Reclaiming Mines to Open Space and Wildlife Habitat
Focused Workshop:  In-stream Mining and Monitoring

SMARA Reporting and Compliance Training (Day 1) *
Preparation and Review of Reclamation Plans (Day 2) *
Both Day 1 and Day 2 *                         

*If registering for a two-day workshop, which Location are you interested in?

Select from list... Mt. Shasta San Jose

Please let us know how you heard about our new workshops: Received a brochure in the mail Select from list... From the Office of Mine Reclamation Web page From the SMARA Update Newsletter From the Department of Conservation web page Word of mouth