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 print out and mail this form, with check 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 ________________________ EVE. PHONE_______________________________

E-MAIL________________________________________________________________________

Fee Enclosed $ ___________________________________

I am a local government official: ____ Elected _____ Appointed ________________Position

For Office Use Only:  Check # _____________     Cash ____________

Please complete a separate form for each person registering.

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