Apply The Edge of Kauai Science of Environmental Systems

Summer Seminar Dates*
- June 21-28
- July 19-26
Name*
First Last
School Name*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone*
Mobile Phone
Sex*
- Male
- Female
Age*
Height
Weight
Occupation/Position*
Accommodations (check all that apply)*
- Share Double Room with Spouse/Companion
- Share Double Room with non-smoker
- Share Double Room with smoker
- Share Double Room with either non-smoker or smoker
- Single room (one person) at additional cost of $550
If sharing room with spouse/companion, provide name:
Charges (check all that apply)*
- Seminar Fee ($1,250.00)
- Accommodation: Double Occupancy ($750.00)
- Accommodation: Single Room (additional $550.00)
- Additional Person: Spouse/Companion ($550.00)
- HI State Tax (add 4.17% to all above fees)
TOTAL Charges (fees plus HI tax)*
Method of Payment (minimum deposit of $250 required)
- Check (mail to: TEOK Investigations, PO Box 549, Poipu, HI 96756)
- Wire Transfer (please contact us for instructions)
- Credit Card (please contact us with card details)

Apply – Science of Environmental Systems