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NC State University Urban Design Forum Registration

1. Registration

Growing in Place, Friday, March 5, 2010
Marbles Kids Museum
201 East Hargett Street, Raleigh

Creating Value: Designing for Resilient Cities, Saturday, March 6, 2010
Raleigh Convention Center
500 East Salisbury Street

Registration fees (after Feb. 22, 2010, 10PM):

Resilient Cities $135 ($155)
Growing in Place $100 ($115)
Resilient Cities + Growing in Place $220 ($255)

Student registration fees (after Feb. 22, 2010, 10PM):
Resilient Cities $35 ($55)
Growing in Place $25 ($40) 10 slots available
Resilient Cities + Growing in Place $55 ($85)

Note: the ULI Vibrant Urban Centers program is free and open to the public. No registration is required.

Please fill in your first name, last name, professional suffix and organization below exactly as you would like your name tag to appear.

*
1. First name:

First name:

*
2. Last name:

Last name:

3. Professional suffix (such as AIA, AICP, ASLA, etc.):

Professional suffix (such as AIA, AICP, ASLA, etc.):

4. Affiliation/Firm/University:

Affiliation/Firm/University:

*
5. Address information:

Address information: Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Email Address:

6. Please check your area(s) of professional or academic focus:

Please check your area(s) of professional or academic focus: architecture

landscape architecture

planning

engineering

municipal governance

real estate/development

construction

Other (please specify)

7. Do you have special dietary needs?:

Do you have special dietary needs?: no

yes

If yes, please specify:

*
8. For networking purposes only, a printed list of participants including name, organization and email address will be handed out at the conference.

For networking purposes only, a printed list of participants including name, organization and email address will be handed out at the conference. Include me on this list

Do NOT include me on this list

*
9. I am a current, full time student with a valid ID:

I am a current, full time student with a valid ID: yes

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NC State University Urban Design Forum Registration

1. Registration

*1. First name:

*2. Last name: