U.S. Environmental Protection Agency 1999 National Community Involvement Conference/Training "EPA's Role In Community Involvement"
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*:
Please select the organization you are representing*: Select Organization U.S. EPA Federal AgencyStateTribe CommunityAcademia Other
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.
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
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.
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
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