Please Include an E-Mail Address for Each Attendee!
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Please complete and return this form with payment by March 31, 2017.
Attendee’s Name: E-mail address: 1. 2. 3. 4. (Please include an e-mail address for each attendee!)
Company Name:
Address: # Total Number of Attendees ($40.00) $ Total Amount Enclosed Please mail registration form along with payment to ensure registration. Due to space limitations space will not be held without attendee names and payment. Remember space is limited to 200 participants! 4 people per firm! Please make check payable to ASHE Harrisburg Section and mail along with a copy of the registration form. Kristie Corle Stantec 5000 Ritter Road, Suite 102 Mechanicsburg, PA 17055 E: [email protected] Please contact Jennifer Hendricks at [email protected] or 717.877.6271 if you have any additional questions.