2021 Team Registration Invoice - late fee

To be filled out by State/Provincial/Partner Nation Envirothon Representative to secure a spot for your team in the Virtual 2021 NCF-Envirothon Nebraska Competition.
Upon successful submission, you will receive a copy of this invoice to the email address you enter below. (It may take several minutes for the email to show up in your inbox. Be sure to check your Spam or Quarantine folders as well.)

Team Registration
$300 per team - will cover online event & testing access for 5 team members and 1 advisor. If your team has more than one advisor, an additional advisor may register as a guest for an additional $50.

Payment Deadline: May 15, 2021. (Payments made after May 15th will incur a Late Fee of $50 for a total of $350)

All refunds will be assessed a $25 handling fee. No Refunds after July 01, 2021.

Please Note: Separate forms for individual Team Member Registration (team member names & info), Guest Registrations and other required forms will open soon. Guest registration fees can be paid for at that time.

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State, Province or Partner Nation *
Envirothon Representative Contact Name Envirothon Representative Contact Name * First Last
Email *
Work Phone Work Phone * - ### - ### ####
Cell Phone Cell Phone * - ### - ### ####
Sponsoring Agency/Program
Sponsoring Agency/Program Address Sponsoring Agency/Program Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Team Registration Fee
Team Registration + late fee

Team Registration + late fee Pay Registration Fee - $350.00 USD
Membership Dues - Per NCF-Envirothon Policy, all states, provinces and partner nations must be current on all Membership Dues in order to send a team to the NCF-Envirothon annual international competition.
Have you paid your 2021 NCF-Envirothon Membership Dues?

Have you paid your 2021 NCF-Envirothon Membership Dues? Yes - proceed to the payment section No - check below to pay at this time
Membership Dues ($350.00 USD)

Membership Dues ($350.00 USD) Pay 2021 Membership Dues ($350 USD)
Additional Donation: Help support the NCF-Envirothon program with an additional donation! Donations of any size are appreciated. With a donation of $200 or more, you will be recognized as a supporting organization on the NCF-Envirothon website.
Additional Donation (Suggested $200.00 USD) $ Dollars . Cents
Payment
Please select your payment method:
(International Programs: please note if paying by cheque, a U.S. Bank Draft is required)

Please select your payment method:
(International Programs: please note if paying by cheque, a U.S. Bank Draft is required) Credit Card (PayPal) Check (or U.S. Bank Draft) Direct Deposit
For Direct Deposit:
If paying via Direct Deposit, you will be contacted by the NCF-Envirothon Program Manager with details.

For Check or U.S. Bank Draft:
Make check payable to: NCF-Envirothon

Mail to: NCF-Envirothon
Attention: Karla Maldonado
509 Capitol Court N.E.
Washington, D.C. 20002
Memo Line: 2021 Team Registration for [BLANK] Envirothon team

Please be sure to include a copy of this invoice with the check or U.S. Bank Draft!
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2021 Team Registration Invoice - late fee

2021 Team Registration Invoice - late fee

$`0`

Total

Team Registration Fee

Membership Dues - Per NCF-Envirothon Policy, all states, provinces and partner nations must be current on all Membership Dues in order to send a team to the NCF-Envirothon annual international competition.

Additional Donation: Help support the NCF-Envirothon program with an additional donation! Donations of any size are appreciated. With a donation of $200 or more, you will be recognized as a supporting organization on the NCF-Envirothon website.

Payment

$`0`

Total

2021 Team Registration Invoice - late fee