Please fill in all of the fields below!

I am coming to the Barnraising in Nashville, Tennessee! yes no

First Name:

Last Name:

Are you and/or your group trying to set up a Low Power FM station? yes no

Are you with a group or are you flying solo? group solo

Organizational affiliation:

How many folks from your group are coming to Tennessee?

How long will you be with us?

The whole time -- April 1 through April 3, 2005.
Only for part of the barn raising - what days?

Registration Fees
We're asking everyone to contribute a daily registration fee to help us cover the cost of this event and to provide food. We ask our registrants to donate $100 for the entire conference or $40 per day. No one will be turned away for lack of funds. Contact Prometheus for scholarship information, as well, if you need it! We'd love you to come.

How much can you contribute? $

Would you or your organization be able to donate more, if the donation were tax-deductible, through our fiscally-sponsored 501(c)3 status? yes no

In the future you will be able to pay online in advance. For now, please mail a check to the address below or bring your check in April. Thanks!"

We're concerned about your diet!

I am an omnivore vegetarian vegan
(this information will help us plan food buys)

Address

Street

City

State: I don't live in the USA! AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip

Phone number:

Fax number:

Email:

Housing

Please Tell Us Where You Want To Stay:
I love camping (and I'm bringing a tent) I need a homestay I want a hotel

(We'll be posting a list of nearby hotels online soon).

Transportation
(Prometheus can't guarantee ride support but we might be able to put you in contact with someone offering or needing a ride.)

I need a ride!

I can provide a ride! For how many people? You can list me on a ride board

What do you want to learn?

Please provide some notes for us on what you are interested in learning at this upcoming event.

What else do we need to know?

Do you have specific radio skills or engineering experience that might be helpful? Or other skills or interests you'd like to explain to us?