Workshop Registration

For a secure online credit card (American Express, VISA or MasterCard) registration, go to Secure Registration. Please note that if you use Foxfire or Fire Fox for your browser, completing the online registration form may not work. Please call.

If you prefer to register off line, please print this page, complete it and mail to
the address at the bottom.
Telephone Roger Devore at 618-589-1729.

If you select a workshop/tour that is already filled, we will notify you immediately upon receiving your registration.

The Nature Workshops 
Registration Form

Name _______________________Telephone ________email __________

Workshop/Tour Name



1.   $               





Total Fees



Alumni discounts = $100


Workshop/Tour Fees Due





Van transportation option @ $125/person/workshop (this is transportation
a Workshop only – see Transportation)
Airport pick up and drop off service, in accordance with the times shown
in web site/brochure,
if applicable @ $75/person/workshop

Total Fees



Deposits ($250/person/workshop for credit cards; full
amount due for checks/money orders)
(See specific deposit requirements for Alaska, Galapagos, Mexico and Italy


Balance due 60 days prior to start



We make the lodging reservations.  Would
you prefer single ____ or shared _____ accommodations?

Demographics (please supply the following
information so we can serve you better):

How would you describe your interest in Nature
_________Professional Photographer    __________Full
Time   _________Part Time
_________Intermediate/Advanced Photographer
_________Amateur/Novice Photographer

What kind of nature and environmental
photography do you prefer?
_________Wildlife  __________Plant Life  __________Landscape 

Are you a member of the North America Nature Photography Association (NANPA)?_______

Where did you learn about us? _____________________________________________________

Mode of Payment:

_______ Check or money order enclosed (payable to Roger Devore Photography –
Do not make checks payable to The Nature Workshops)
 _______MasterCard _______Visa _________American Express
Credit card number _______________________ Expiration date _________
CV Code_______________________ (three digits on back of MasterCard or VISA, four
digits on front of AMEX)

I understand the Refund/Cancellation Policy as stated in the
Administrative Notes and the Environmental Policy Statement, both found elsewhere on this web site, and, if paying by credit card, I authorize the use of that credit card to pay the fees related to the workshop for which I am registering.

Signature_______________________________________ Date_______________________

Send completed form to:
The Nature Workshops
7 Ryan Circle
Lebanon, IL 62254-1948

Or contact Roger Devore at 618-589-1729.

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