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Discover Virginia Registration Form
To register for the Discover Virginia: A Natural History Retreat online, please complete and submit the form below.
Event
Full Registration - $115
Discount Rate for Silver Explorer members and above and educator - $105
Saturday Only Registration Discover Virginia - $75
Sunday Only Registration Discover Virginia - $75
Saturday Box Lunch - $7
Sunday Box Lunch - $7
Saturday Vegetarian Box Lunch - $7
Sunday Vegetarian Box Lunch - $7
Name*
Address*
City, State, Zip*
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Home Phone
Office Phone
E-mail Address*
How did you hear about the the event?
Number of years attended?
Wintergreen Community Member
Yes
No
The Wintergreen Nature Foundation
R.R 1, Box 770
Roseland, VA 22967
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