photo

U.S. Environmental Protection Agency
1999 National Community Involvement
Conference/Training

"EPA's Role In Community Involvement"

blue bar

Registration Form
Please complete the following personal information.
*Required Fields

Name*: Mr. Ms.
First: Middle Initial: Last:
Title*:
Office/Department*:
Mail Code:
Organization*:
Address*:
City*: State*: Zip*:
Country:
Phone*: Fax:
E-mail*:

blue bar

Please select the organization you are representing*:

blue bar

Luncheon*
An optional luncheon is available for $16 per person on May 27, 1999.
Yes, I plan to attend the luncheon
No, I will not attend the luncheon
If yes, do you have any dietary requirements, such as kosher, low-salt, or vegetarian? Please specify below and send in your request by May 2, 1999.
Special Dietary Requirements:
Please note luncheon tickets will be sold at the conference until noon, May 26, 1999. However, preregistration is required so the hotel can plan the appropriate number of meals.

blue bar

Training Sessions
Optional training sessions are available Thursday afternoon, May 27, through Friday noon, May 28. If you plan to attend a training session, you must pre-register. Training sessions are limited in size and registration is on a first-come, first-served basis. Please indicate your preference by selecting one of the three listed training sessions.
Crisis Communications (1:30 p.m., May 27 to 12:30 p.m., May 28, 1999)
This training session is full. To place yourself on the waiting list, check the box above.

Media Relations (1:30 to 5:30 p.m., May 27, 1999)
Public Involvement with a Cross-Cultural Focus (1:30 p.m., May 27 to 12:30 p.m., May 28, 1999) CANCELLED

blue bar

Field Trips
Since space is limited for each field trip, you must pre-register to participate. Please sign up by registering at the conference or by indicating your preference below.
Brownfields Site (8:30 to 11:30 a.m. Wednesday, May 26, 1999)
This field trip is full. To place yourself on the waiting list, check the box above.

Household Hazardous Waste Center Program (3:00 to 5:00 p.m., Wednesday, May 26, 1999)
CBEP Project (1:30 to 5:30 p.m., Thursday, May 27, 1999) Please note selecting this tour precludes you from attending an optional training session.

blue bar

Please note that this registration form does NOT record accommodation reservations. If you will require accommodations while at the conference, you must still make reservations with the hotel.
Accommodation Information


CI Conference Home

Agenda