RE:Energize Registration

Your workshop registration entitles you to:

• One (1) workshop pass which gives you full access to the event
• One (1) lunch at the event
• An invitation to the Social Networking event (for 21 and over)
• One (1) raffle card for door prizes

REGISTRATION FEES:

$50 - Early Registration (ends Jan 21, 2009)
$25 - Student Rate
$75 - On-Site Registration (with valid student ID)

Register Online Today

To register online, please provide the following information and complete the instructions below.

Student registration:

School
First Name
Last Name
Phone
Email
Web Address
Ticket Qty:		1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

-- OR --

Non-member registration:

Company
First Name
Last Name
Phone
Email
Web Address
Ticket Qty:		1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

The Gulf Coast Energy Network is a registered non-profit Florida corporation.