<p> Federal Transit Administration MAP-21/FAST Act Capital Investment Grants Workshop (Section 5309) (held in conjunction with the APTA Rail Conference) Sheraton Grand Phoenix Phoenix, AZ Wednesday, June 22, 1 – 5 pm Workshop Registration Form</p><p>Registration Fee: The registration fee for the FTA MAP-21/FAST Act Email Completed Form to: Capital Investment Grants (Section 5309) Program Workshop is waived [email protected] for all attendees; however, registration is required for the workshop. </p><p>BADGE INFORMATION NOTE: Please complete registrant badge information carefully to avoid incomplete/incorrect information. Attach additional list if necessary.</p><p>1.______2.______Name Name ______Nickname Nickname ______Title Title ______Company Company ______Address Address ______City, State, Zip City, State, Zip ______Tel Tel ______Fax Fax ______</p><p>E-mail E-mail</p><p>SUBMITTED BY: Name______Company______</p><p>Address______</p><p>City, State, Zip______</p><p>Tel:______Fax:______</p><p>Please indicate any disability requiring special accommodations:______</p>