Research Summit Registration Form

The cost for the conference is $199.00.  The conference registration fee will cover all sessions including the Opening Session, two continental breakfasts, breaks, and one evening reception.  A listing of local eating establishments will be provided at the Summit.  Registration may be completed online or contact Ms. Lorae Blum at lorae.blum@unco.edu.

Research in the Rockies

Registration Form

  1. The full registation fee of $199.00 will cover all sessions including the Opening Session, two continental breakfasts, breaks, and one evening reception.
    Will you be attending the full conference?  

  2. If you are only attending the Opening Session on June 10,2010 at 7:00 pm, the cost will be $10 ($5 for students)
    Will you be attending the Opening Session on June 10, 2010 at 7:00 pm?

  3. Name:

  4. Your Affiliation(s):

  5. Your Street Address:

  6. City: State: Zip Code:

  7. Telephone: Fax:

  8. Email:

  9. If you need any accommodations please list them below:

NOTE: We do not have a secure way to receive registration fees electronically. Once you submit your registration information you will be directed to a payment form that will record your payment information. This payment form can be printed and phoned in, faxed, or mailed. Details provided on the payment form.

Research Summit
Attn: Lorae Blum, Business Manager
University of Northern Colorado
McKee Hall, Campus Box 141
Greeley, Colorado 80639
Toll-Free: 1-800-395-2693
Phone: (970) 351-2693
Fax: (970) 351-1061