Symposium Registration Form
May 3, 2000

This page updated January 17, 2006.

Registration Form

Indoor Air Quality: Risk Reduction in the 21st Century
May 3-4, 2000
DoubleTree Hotel - Sacramento, California

(Please Note: You MUST Print and Mail Form)

Name: ____________________________________________________________________________________________

Title:______________________________________________________________________________________________

Organization:_______________________________________________________________________________________

Mailing Address:____________________________________________________________________________________

City:______________________________________________________________________________________________

State: ____________________________________________ZIP______________________________________________

Daytime Phone: (____)_______________________________FAX: (____)______________________________________

E-Mail: ____________________________________________________________________________________________

Special Needs:

Dietary / Disability: __________________________________________________________________________________
 

Payment Method:

___ Check Enclosed Payable to Indoor Air Quality: Risk Reduction in the 21st  Century / CSUS Foundation

___ Charge My Registration Fee(s) of _______________ To:
 

___Visa ___ Mastercard ____ American Express

Card Number: ______________________________

Exp. Date:_________________________________

Signature: _________________________________
 

___ Purchase Order # (Attach a Copy): ____________________________

Amt. $______________________

Cancellation Policy:
Cancellations received in writing by April 19, 2000, are subject to a $25.00 fee. After April 19, no refunds will be provided. No-shows will be billed the full registration fee, but substitutes will be accepted.
Mail Payment and Form To:

Indoor Air Quality:
Risk Reduction in the 21st Century
c/o CSUS Business Services Group
7700 College Town Drive, Suite 200
Sacramento, CA 95826-2304

Phone: (916) 278-4960 or (800) 858-7743

Fax: (916) 278-4865

On-site registration may be accepted at the Symposium, depending upon space availability. If you would like to check on space availability or have questions regarding registration, please contact the conference hotline at 1-800-858-7743.
This facility is accessible to persons with disabilities. If accommodation is needed, please contact Priscilla Gandy at (916) 278-4820 by April 19, 2000.
Persons with hearing or speech impairments can contact us by using our Telephone Device for the Deaf (TDD) at (800) 700-8326 for TDD calls from outside the Sacramento area.



Indoor Symposium - 2000

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