NDOT Bike Conference Registration

Jim Gibbons
Governor
Susan Martinovich, P.E.
Director

2009 Bicycle and Pedestrian Conference

Wednesday May 20 - Thursday May 21, 2009

Mont Bleu Resort Casion and Spa
Stateline - Lake Tahoe, Nevada

Registration Fees: $185

Contact Information:

Phone: 775-888-7357 or 7727
or Email:
bicycle@dot.state.nv.us

Bicyclenevada

Registration Form

An asterisk (*) indicates data is required.

*E-mail address EX: mail@email.com

*First Name

*Last Name

Title

*Agency / Organization Name

*Street address

*City

*State

*ZIP/Postal code

*Phone Number EX: 000-000-0000

Fax Number EX: 000-000-0000

Registration Fees: $185
Payment Method

Yes I Will Attend the Wednesday Evening Social Event. (Included in Registration)

And Please Include
Additional Guest for Wednesday Evening Social Event at
$25 per Guest

Please make check or purchase orders payable to:

NEVADA BICYCLE ADVISORY BOARD
and mail to:

PO BOX 686, Carson City, NV 89702
or
FAX (775) 888-7207

1263 South Stewart Street, Carson City, Nevada 89712 - Telephone: 775-888-7000 - Fax: 775-888-7115 - Email: info@dot.state.nv.us