Environmental Action 2008
Mobilizing the Grassroots for Healthy, Sustainable Communities.












   


Saturday, November 15th
8:00 – 4:15

Vermont Technical College
Randolph, Vermont

Workshops, agenda, and information on our keynote speaker

Hosted by: Toxics Action Center, Vermont Alliance of Conservation Voters, Vermont Natural Resources Council, VPIRG, New England Grassroots Environment Fund, and Vermont Technical College

Payment Work Sheet:

Individual Registration ($30/each)
X $30 ($35 at the door)= (Put this amt. in box on the right.)
 
OR
Student Registration ($15/each)
X $15 ($20 at the door)= (Put this amt. in box on the right.)
  x

Cosponsoring Organization Registration

3 entrance tickets + 1/2 display table ($50) OR

3 entrance tickets + full display table ($80)

# of additional tickets X $15= (Put this amt. in box on the right.)

If cosponsoring group, enter name and address of second attendee here:




If cosponsoring group, enter name and address of third attendee here:




Are you planning on using your table space? Yes / No

Will you be needing lunches (please add $7.50 for each lunch you would like to order)? Yes / No

Childcare care needed? Yes / No
Number of children?
Ages?
Note: you must pre-register childcare needs so that we can plan accordingly

$40/$60
+
=

 

 

 

 

 

 

 

 

 

 
  x
Total amount due for conference registration.
Name:
Address:
 
City:
State:
Zip:
Phone:
E-mail:
Group:

Please select your payment method:
Check     Credit    

To pay by check: Please make check payable to Toxics Action Center and write "Vt Environmental Action " in the memo line. Checks can be mailed with the downloadable registration form to: Vt Environmental Action, 141 Main St. Suite 6, Montpelier, VT 05602. If you've chosen to pay by credit card, click "register" and enter your payment information on the next page. If you have any questions, please e-mail or call (802) 223-4099.

 
 
Copyright 2003 Toxics Action Center.  All Rights Reserved.