Online Registration for Conservation-Based Design in Affordable Housing and Commercial Corridors

Conservation-Based Design
in Affordable Housing
and Commercial Corridor Development

Conservation-Based Deisgn image

July 15, 2009 - UNCW Executive Development Center - Wilmington, NC
July 16, 2009 - Greensboro Regional Realtors Assn. - Greensboro, NC

REGISTRATION FORM INSTRUCTIONS

This form has been designed for those wishing to register on-line, but not pay on-line. With this form you will be able to make payment with Mastercard, Visa, or personal check and mail the payment to us. However, if you would prefer to make a credit card payment on-line please CLICK HERE to go to the credit card registration web page instead.

Click the box for the location you wish to attend - sorry, you can only choose one location per registration form. Print a copy of the form BEFORE you click the submit bar. Once you click the sumbit bar, a date-stamped email version of your registration form is sent. Please mail a copy of the completed registration form with your check or credit card information (address at bottom of form). Confirmation of your registration will be emailed to you.
First Name:  
Last Name:  
Title:
Organization:
Mailing Address:
City, State, Zip  
Phone:  
Fax:
E-mail: (required information)
Your Preferred Payment Method: Check payable to "NC State University" mailed in with copy of this form.
Mastercard or Visa entered by hand after printing this form, then mailed or faxed.
County, City, State or Federal agency requesting invoice.
Space to hand write your credit card information if paying with card.

Card number: __ __ __ __ - __ __ __ __ -__ __ __ __ -__ __ __ __ (MC or Visa only)
Expiration Date: ___________

Choose your workshop location:

July 15, 2009 - UNCW Executive Development Center, Wilmington, NC

$45.00

July 16, 2009 - Greensboro Regional Realtors Assn., Greensboro, NC

$45.00

 

Please tell us if you are seeking continuing education credits

  Engineer Planner ISA Landscape Arch.

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

Workshop logisitics and web page management by

Forestry and Environmental Outreach Program
Campus Box 8008
Raleigh, NC 27695-8008
Phone: 919-515-9563
Fax: 919-515-6883