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Grant Workshop
Registration Form

The quickest and most convenient way to register is by using the online form below. If you are unable to register with this online form, you may register by fax at 303-312-7519. Address your fax to Nancy Reish/Tami Thomas-Burton and be sure to include all the information requested on the form below. You may also register by phone by calling Nancy Reish at 303-312-6040 or Tami Thomas-Burton at 303-312-6581 or 1-800-227-8917 ext. 6040/6581.

We have a limited amound of space, so please register early.

Please remember that you will need to bring a picture ID in order to enter the EPA Conference Center.


First name, Last name

Position/Title

Organization

Street or PO Box

City, State, ZIP

Telephone, Fax

E-mail Address:

I will be attending (both can be checked):

This year we are highly recommending you attend either Session A or Session B - Sustaining Community Programs through Logic Models. Please select one, class size is limited so you may not get your first choice.

These are the Round Robin sessions that I would like to attend: (Check up to 9)


Note: the afternoon Round Robin sessions are limited to 20 people per session.

Although EPA cannot provide lunches, we can assist you in purchasing box lunches for $10.  If you are interested in this option, please designate your preference:

We will collect the cost of the lunch at your registration - $10. Cash only - please. If you would prefer, there are a couple of places close by where you can purchase a lunch. Of course, you are welcome to bring your own.

Travel Arrangements
Participants attending the workshops are responsible for their own travel arrangements. In case of course cancellation, EPA bears no responsibility for a decision by the registrant to purchase non-refundable airline or other types of tickets.

Course Materials
We recommend you bring a pencil or pen to the workshops so that you may take notes. EPA will provide hard copies of the course materials at the workshop. You do not need to download the course materials from the Internet.

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