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Registration Information

Please print this page and fax or mail as appropriate.

Name:_____________________________________________
Title:______________________________________________
Company/Organization:________________________________
Address:___________________________________________
City/State/Zip:_______________________________________
Phone/Fax:_________________________________________
e-mail:_____________________________________________

I wish to attend the following forums:

___ Forum 1 Environmental Strategy:  Using Environmental Management as a Business Lever
___ Forum 2 Communicating the Business Value of Environmental Management
___ Forum 3 Building an Environmental Education Program
___ Forum 4 Developing an Environmental Management Information System (EMIS)
___ All 4 Forums

 

Program Fees
Your level
of membership
All four
forums
Individual
forums
Sponsor $150 $45
Corporate $190 $55
Individual $230 $65
Non-Members $270 $75

My level of WEI membership;

___ Sponsor Member
___ Corporate Member
___ Individual Member
___ Non-Member

I am interested in becoming a member of WEI and receiving a discount on this registration. Please contact me regarding member levels and additional benefits of membership.

Method of payment

Total cost $_______________ (Refer to the above chart for costs.)

___ Payment enclosed. (Please write checks to Wisconsin Environmental Initiative.)

___ Bill me.

___ Credit card:   ___Visa   ___MasterCard

Account#_____________________________

Expiration Date________________________

Signature_____________________________

 

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