Teleconference Registration Form

Forestry Issues Forum Teleconference Registration Form 1. Once you have filled in all sections below, print a copy of the form. Then click the SUBMIT botton at the bottom and we will receive a date-stamped email message containing your registration information. You will still need to print the confirmation page that comes up on your screen after you click Submit and mail a copy of it with your payment. 2. Early registration fee is $35 up to 7 days prior to teleconference, late fee will be $50 beginning 6 days prior to the teleconference. No refunds will be made once the late registration period is in effect. 3. Mailing address: NCSU-FEOP, Campus Box 8008, Raleigh, NC 27695-8008 [Fax number: 919-515-6883, Phone number: 919-515-9563]
Below are the teleconferences currently available. Which teleconference do you wish to register for? You may choose more than one, but your registration will not be comfirmed until we have received payments for teleconferences you choose.
January 13, 2010 March 10, 2010	May 12, 2010 (4 hour program) June 9, 2010
First Name:
Last Name:
Organization:
Mailing Address:
City, State, Zip
Phone:
Fax:
E-mail:
$35 or $50 Payment Method:	Check to "NC State University" .......... Mastercard or Visa
Space to hand write your credit card information.	Card number: __ __ __ __ - __ __ __ __ -__ __ __ __ -__ __ __ __ Expiration Date: ___________

Which teleconference site do you prefer? Remember that sites may reach capacity before we receive your registration. We will call you if this happens to discuss other locations.

Alleghany High School, Sparta, NC
Elizabeth City State University, Elizabeth City, NC
Gateway Technology Center, Rocky Mount, NC
Montgomery Community College, Troy, NC
Mountain Horticulture Research Center, Mills River, NC
McKimmon Center at NCSU, Raleigh, NC
(NOT AVAIL FOR NOVEMBER 11 BROADCAST) Southeastern Community College, Whiteville, NC

Southside Virginia Community College-South Hill, VA
UNC-Pembroke, Pembroke, NC
Vernon James Research Center, Plymouth, NC
(NOT AVAIL FOR NOVEMBER 11 BROADCAST) Wayne Community College, Goldsboro, NC
Western Carolina University, Cullowhee, NC

Don't forget to print a copy BEFORE you click the Submit button!

FEOP Home Page | NCSU Home Page
Extension Forestry | Department of Forestry & Environmental Resources

Forestry Issues Forum Teleconference Registration Form

Don't forget to print a copy BEFORE you click the Submit button!

Forestry Issues Forum Teleconference
Registration Form