<p>Center 3for Resource Recovery & Recycling CR Spring Meeting Registration Form</p><p>Fax or Email Registration Information by May 3rd to: (508) 831-5993</p><p>Last Name______First Name______</p><p>Email Address (to receive confirmation)______</p><p>Daytime Phone______Fax______</p><p>Company______</p><p>Street Address or PO Box______</p><p>City______State______</p><p>Zip______Country______</p><p>Faculty & Corporate Registration $100.00______Student Registration $20.00______Fee includes all meals, breaks, and meeting materials. American Express Mastercard Visa Discover</p><p>Card #______Exp. Date______</p><p>Cardholder Name (please print)______</p><p>Signature______</p><p>Cardholder Billing Address______</p><p>City______State______</p><p>Zip Code______Country______</p><p>______I will attend Tues. and Wed. including the reception and dinner. ______I will attend Tues. and Wed. but not the reception and dinner on Tuesday evening. ______I will attend only Tuesday’s meeting. ______I would like a box lunch “to go” on Wednesday, May 11th</p><p>Please list any other requests or food allergies here and we will try to accommodate your needs.______</p>