To Pre-Register for the 2011 Mon River Summit, please fill out the form below.

We will send you an invoice for credit card payment using PayPal.

Primary Registrant:
Last name... First name
E-Mail Address ..
Confirm e-mail ...
We will send a PayPal invoice to your email address for secure credit card payment.
Organization Non-profit organization? Yes
If you wish to pay for aAdditional Registrants on this billing, list the names below.

Address 1 ..
Address 2 ..
City ...........
State ..........
Zip+4 .........
Phone ........

Do you need a vegetarian lunch? Yes
Do you plan to bring posters? (No charge, but bring your own easels.) Yes
Do you need a table? ($15 non-profit/$30 commercial) Yes
Do you need electrical power? Yes
Have you attended a previous Mon River Summit? Yes

Additional remarks

Please check periodically for Summit updates. For general inquiries, contact Don Strimbeck at 304-599-7585 or