Registration

Equity and Regionalism Conference: 

The Impact of Governance Restructuring On Communities of Color

Advanced registration is required.

Please print out and mail or fax this form to:

Sustainable Pittsburgh
425 Sixth Avenue, Suite 1335
Pittsburgh, PA 15219
Phone: 412-258-6642
Fax: 412-258-6645

Or email your information to: info@sustainablepittsburgh.org

REGISTRATION FORM

NAME ________________________________________________________________________

TITLE_________________________________________________________________________

ORGANIZATION ________________________________________________________________

MAILING ADDRESS _____________________________________________________________

CITY ______________________________ STATE ______________ ZIP___________________

DAY PHONE ________________________ EVE. PHONE_______________________________

E-MAIL________________________________________________________________________

Please complete a separate form for each person registering.

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