REGISTRATION FORM

The New England Board of Higher Education Presents

New England Higher Education Sustainability Summit 2010:

A Climate Change on Campus

Friday, April 23, 2010 7:45 a.m. – 4:15 p.m.

The Crowne Plaza Hotel, Worcester, Massachusetts

Complete all pages of the form (tab between fields and check off appropriate boxes). BE GREEN!! Email the saved form to . Alternatively, if you must fax the form, send it to the attention of Sustainability Registration at 617.338.1577.

The registration fee is $119 per registrant.

The registration deadline is Monday April 16, 2010. Please direct questions regarding this event to Daren Follweiler at 617.357.9620 x112 or via email at .

ATTENDEE #1 INFORMATION

Attendee 1 Name:
Title:
Organization:
Address:
City: / State: / Zip:
Phone: / Email:

Please choose one session from each of the Concurrent Sessions you would like to attend:

Concurrent Session 1:1A. The Expansion of College Campuses: Economic Development and Building Green

1B. Integrating Sustainability Across the Curriculum

Concurrent Session 2:2A. Advancing Carbon Neutrality on Campus

2B. Growing the Green Workforce: The Community College Connection

Concurrent Session 3: 3A. Renewable Energy for Colleges and Universities

 3B. Preparing Transformative Leaders: Professional Degrees with a Green Streak

ATTENDEE #2 INFORMATION

Attendee 2 Name:
Title:
Organization:
Address:
City: / State: / Zip:
Phone: / Email:

Please choose one session from each of the Concurrent Sessions you would like to attend:

Concurrent Session 1: 1A. The Expansion of College Campuses: Economic Development and Building Green

 1B. Integrating Sustainability Across the Curriculum

Concurrent Session 2: 2A. Advancing Carbon Neutrality on Campus

 2B. Growing the Green Workforce: The Community College Connection

Concurrent Session 3: 3A. Renewable Energy for Colleges and Universities

 3B. Preparing Transformative Leaders: Professional Degrees with a Green Streak


ATTENDEE #3 INFORMATION

Attendee 3 Name:
Title:
Organization:
Address:
City: / State: / Zip:
Phone: / Email:

Please choose one session from each of the Concurrent Sessions you would like to attend:

Concurrent Session 1: 1A. The Expansion of College Campuses: Economic Development and Building Green

 1B. Integrating Sustainability Across the Curriculum

Concurrent Session 2: 2A. Advancing Carbon Neutrality on Campus

 2B. Growing the Green Workforce: The Community College Connection

Concurrent Session 3: 3A. Renewable Energy for Colleges and Universities

 3B. Preparing Transformative Leaders: Professional Degrees with a Green Streak

ATTENDEE #4 INFORMATION

Attendee 4 Name:
Title:
Organization:
Address:
City: / State: / Zip:
Phone: / Email:

Please choose one session from each of the Concurrent Sessions you would like to attend:

Concurrent Session 1: 1A. The Expansion of College Campuses: Economic Development and Building Green

 1B. Integrating Sustainability Across the Curriculum

Concurrent Session 2: 2A. Advancing Carbon Neutrality on Campus

 2B. Growing the Green Workforce: The Community College Connection

Concurrent Session 3: 3A. Renewable Energy for Colleges and Universities

 3B. Preparing Transformative Leaders: Professional Degrees with a Green Streak

You may list additional attendees on a separate sheet.

PAYMENT INFORMATION:

Total Number of Registrants:Total Registration Fee: $

Check will be sent separately. Make check payable to New England Board of Higher Education. Mail to: 45 Temple Place, Boston, MA 02111

 Purchase Order Number:  Credit Card (information below)

Credit Card Type: / Expiration Date:
Credit Card Number:
Name on Credit Card:
Billing Address:

Cancellation Policy: Notify the New England Board of Higher Education of cancellation by Friday, April 16, 2010 and your registration fee will be refunded.

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