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About The Project
Local Contacts |
Stormwater Education and Outreach Programs for Phase II Communities Professional Networking Workshops Friday, April 13, 2007 8:00 a.m.-3:00 p.m.
Participant and Presenter Registration Form (Please submit before March 15th) To register as a participant or presenter, please complete and mail this form and registration fee to the Ecology Action Center (checks only), or click here to register online. If you have any questions, please contact Caroline Wade, Ecology Action Center at eac@ecologyactioncenter.org or 309-454-3169.
Name : ________________________________________________ Title : ________________________________________________ Organization / Business: ________________________________ Address :______________________________________________ Zip Code :___________ Day Phone # :________________________ Alt. Phone # :_________________________ Fax # :_______________________________________ E-mail :______________________________________ We will be providing a contact list of participants and presenters at the workshop. Please indicate if the information that you would like listed is different than above. ________________________________________________________________________ ________________________________________________________________________ Please provide a short bio or description of your organization for the program brochure ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please indicate if you are a _____ participant or _____ presenter Presenters only: Presentation length should be approximately 10 to 15 minutes Presentation Topic ________________________________________________________ Please provide a short summary of your topic for the program brochure _______________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Audiovisual needs (check those that your presentation requires): ______ Computer/PowerPoint ______ LCD Projector ______ Overhead Projector ______ Slide Projector ______ Screen ______ TV/VCR ______ Easel ______ None Other needs:___________________________________________________________
Please indicate if you would prefer a vegetarian lunch ______ yes ______ no
Registration includes networking workshops, the keynote lunch and materials. While at IWU, you will also have an opportunity to explore the Illinois Sustainable Living and Wellness Expo Exhibitor’s Fair.
Registration fees are $20 for each participant. This fee is being waived for those giving presentations and qualified participants.
The total amount I owe and will be mailing to ISLWE:____________________________ Please make checks payable to: Ecology Action Center .
Please send your payment to : ISLWE Networking Workshops Ecology Action Center 202 W. College Avenue Normal , IL 61761
Thank you for participating in the Professional Networking Workshops which are part of the Illinois Sustainable Living and Wellness Expo 2007! You will be sent a confirmation and more information in March 2007.
The Stormwater Workshop was made possible, in part, by: The Lumpkin Family Foundation, 121 S. 17th Street , Mattoon, IL 61938 |
