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Environmental Action 2008
Mobilizing the Grassroots for a Greener New England

Saturday, March 15th
9:00 - 4:30

Wentworth Institute of Technology,
Boston, Massachusetts

Workshops, agenda, and information on our keynote speaker

Hosted by: Toxics Action Center, Environment Massachusetts, and Massachusetts Climate Action Network
Sponsored by: Clean Water Action, Alternatives for Community & Environment
.

Name:
Address:
 
City:
State:
Zip:
Phone:
E-mail:
Group:
# of Kids Attending:
The kids' ages:
   

Payment Work Sheet:

Individual Registration ($35/each)
X $35 ($40 at the door)=

 
 

Student Registration ($15/each)
X $15 =

Conference Cosponsor ($50, receiving 2 entrance tickets)

# of additional tickets for cosponsors X $20=

Half table ($30)

Full table ($60)

Cosponsor Total:

If cosponsoring group, enter contact information for first attendee here:






If cosponsoring group, enter contact information for second attendee here:





Childcare care needed?
Yes / No
Number of children?
Ages?

Note: you must pre-register childcare needs so that we can plan accordingly




  x
Total amount due for conference registration.
 

Please select your payment method:
Check     Credit Card

To pay by check: Please make check payable to Toxics Action Center and write "Environmental Action 2008"; in the memo line. Checks can be mailed with the downloadable registration form to: Environmental Action 2008, c/o Toxics Action Center, 44 Winter St. 4th Floor, Boston, MA 02108. 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 0r call (617)-747-4362.