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RSVP Form
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Forum Hosts 2007-08
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2008 Community Forum

 

Forum Hosts, Sponsors and Partners
Please list all the organizations — hosts, sponsors and partners — that are responsible for holding the community forum exactly as you would like them listed on the Southern Growth website and in their publications
Example: University of Missouri Extension in partnership with
The Northeast Missouri Workforce Investment Board and
GAMM, Inc.
Forum Hosts, Sponsors and Partners:*
Date of
Community Forum:*
[format as mm/dd/yyyy]		 Note: While forums may be held at any time, only results received by March 3, 2008 will be included in Southern Growth's annual report.
Forum Location:* City: State:
Forum Contact Information
Please list one contact person the Southern Growth staff can contact if needed.

Prefix:

(Dr., Mr., Ms., etc.)
First Name:*
 Middle
Initial:

Last Name:*

Suffix:

(Jr., Sr., II, MBA, CEcD, etc.)
Corporate Title:
Dept./Division:
Company/
Organization:*
Address:*
City:* State:*       Zip:*
Phone:*
( ) - 		FAX:
( ) - 		E-Mail:*
Please list UPS shipping address (if different from above):
Forum Supplies
Please select whether you plan on downloading forum materials from
Southern Growth's website or prefer that we ship supplies to you. *		 I prefer that my supplies are:
NOTE: Plan on one discussion guide, one pre-forum questionnaire and one post-forum questionnaire per participant.
No. of Moderator's
Guides to ship: 		No. of Participants' Discussion
Guides and Questionnaires to ship: 		 
     
*Fields must be filled out.

Questions? Contact Paula Baker at 919-941-5145 or pbaker@southern.org

For technical problems with form contact Elizabeth Dellinger, Southern Growth Policies Board.

 

 

 

 

 

 

 

Southern Growth Policies Board, P.O. Box 12293, Research Triangle Park, NC 27709
Phone: (919) 941-5145, Fax: (919) 941-5594, Email: info@southern.org