Registration

SOUTHWESTERN PENNSYLVANIA SMART GROWTH CONFERENCE 2003
Promoting Regional Equity Through Smart Growth
Advanced registration is required.
Registrations must be received no later than May 20, 2003

Registration Fee:    $35.00
Free for local government officials (elected and appointed)

Please complete and submit this form, mail check separately, payable to:

Sustainable Pittsburgh
425 Sixth Avenue, Suite 1335
Pittsburgh, PA 15219
Phone: 412-258-6642
Fax: 412-258-6645
Email: info@sustainablepittsburgh.org


REGISTRATION FORM

FIRST NAME LAST NAME

TITLE

ORGANIZATION

MAILING ADDRESS

CITY STATE   ZIP

DAY PHONE     FAX Number

E-MAIL

I am a local government official: Yes No  Elected  Appointed
Position 

Please check here if registering for john a. powell Champions of Sustainability Lecture only (No charge)

 For Office Use Only:  Check # _____________ 

Please complete a separate form for each person registering.

For more information view our website at: www.sustainablepittsburgh.org