Conference Registration Form

If you wish to register on-line, please see our web site at http://www.solarquest.com

School: _________________________________________
Address: _________________________________________
_________________________________________
City/State/Zip:_________________________________________
Telephone:_________________________________________
Teacher Contact Name:_________________________________________
Telephone Ext._________________________________________
Email: _________________________________________
Number of attendees: ________
Names of attendees:_________________________________________
_________________________________________
_________________________________________

Does your school have an environmental club? If so, please describe briefly.





Does your school have a computer lab or computers in classrooms?





Would your school be interested in qualifying for President Clinton's Million Solar Roofs Initiative?

Yes___ No ___

Please contact us if you have any questions or need further information. Also, send completed forms to:

EcoSage Corporation
RR 1 Box 72
Chelsea, VT 05038
(802) 685-9967
aeb@solarquest.com