2015 National SBEAP Conference Registration

2015 SBEAP/SBO Annual Training Registration

The 2015 National SBEAP Conference will be hosted by the North Carolina Department of Environment and Natural Resources (NCDENR) in conjunction with the national Air & Waste Management Association (AWMA)Conference in Raleigh North Carolina on June 24-26th.

In addition to completing this online registration, you must also submit a registration fee of $19 to the NC DENR for program training being held on 6/24 & 6/26. In addition those taking advantage of the joint agenda with AWMA on 6/26 must also submit the discounted AWMA fee of $100 to the Air & Waste Management Association directly.

See the conference website of: www.visitraleigh.com/sbeap for details.

(You may register with NCDENR the conference before submitting payment. We understand approvals may be forth coming and you may cancel your registration. However, AWMA asks that you pay upon registration.)

Question Title

1. Please provide the following registration information:

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

2. Please select which best describes your role (select all that apply for example combined programs would choose both program components):

SBEAP State Small Business Ombudsman (SBO) Only

SBEAP Technical Assistance Program Only

Combined State SBO/SBEAP

State Compliance Advisory Panel Member

USEPA Ombudsman's Office

USEPA Small Business Coordinator

Other (please specify)

Question Title

3. Which days do you plan to attend?

Day One- June 24th SBEAP/SBO Training

Day Two- June 25th Joint Day with AWMA

Day Three- June 26th SBEAP/SBO Training

Question Title

4. Have you mailed/faxed/emailed or called in your registration form AND $100 payment for the optional
AWMA portion of the conference? (Form available at www.visitraleigh.com/sbeap)

Yes

I will

No, I do not plan to attend these joint sessions

Other (please specify)

Question Title

5. Have you mailed a check payable to the NCENR in the amount of $19 to Kelsey Wright/NC DEACS, 1639 MSC, Raleigh, NC 27699-1639.

Yes

I will.

Other (please specify)

Question Title

6. Have you booked your hotel accomodations at the Holiday Inn- Downtown (815) 914-1878 Ask for roomblock "SBE" ? The Conference rate is $71 per night plus tax. ($80.05 w/tax)

Visit the hotel site at: http://www.holidayinn.com/redirect?path=hd&brandCode=hi&localeCode=en&regionCode=1&hotelCode=RDUSC&_PMID=99801505&GPC=SBE

Yes

I will

I am not staying at the conference hotel.

Question Title

7. Would you be interested in attending a Durham Bulls game on the evening of Thursday 6/24?
(Inexpensive food is available at the stadium with dining options both in and around the stadium)

Yes

Question Title

8. Would you like to hold a spot on a 1 hour pedal trolley tour of downtown Raleigh on the evening of Wednesday 6/24? Cost is $12-15. Space is limited to the first 28 responses so reserve your spot now.
More information about the trolley can be found at: Raleigh.trolleypub.com

Yes

Thank you for Registering for the 2015 Conference! We look forward to seeing you in Raleigh!
Your Conference Hosts,
Tony Pendola & the NSC Planning Committee

Visit www.visitraleigh.com/sbeap for more information.

If you have any questions please email to: Tony.pendola@ncdenr.gov.

Question Title

1. Please provide the following registration information:

Question Title

2. Please select which best describes your role (select all that apply for example combined programs would choose both program components):

Question Title

3. Which days do you plan to attend?

Question Title

4. Have you mailed/faxed/emailed or called in your registration form AND $100 payment for the optional AWMA portion of the conference? (Form available at www.visitraleigh.com/sbeap)

Question Title

5. Have you mailed a check payable to the NCENR in the amount of $19 to Kelsey Wright/NC DEACS, 1639 MSC, Raleigh, NC 27699-1639.

Question Title

Question Title

7. Would you be interested in attending a Durham Bulls game on the evening of Thursday 6/24?(Inexpensive food is available at the stadium with dining options both in and around the stadium)

Question Title

8. Would you like to hold a spot on a 1 hour pedal trolley tour of downtown Raleigh on the evening of Wednesday 6/24? Cost is $12-15. Space is limited to the first 28 responses so reserve your spot now.More information about the trolley can be found at: Raleigh.trolleypub.com

4. Have you mailed/faxed/emailed or called in your registration form AND $100 payment for the optional
AWMA portion of the conference? (Form available at www.visitraleigh.com/sbeap)

7. Would you be interested in attending a Durham Bulls game on the evening of Thursday 6/24?
(Inexpensive food is available at the stadium with dining options both in and around the stadium)

8. Would you like to hold a spot on a 1 hour pedal trolley tour of downtown Raleigh on the evening of Wednesday 6/24? Cost is $12-15. Space is limited to the first 28 responses so reserve your spot now.
More information about the trolley can be found at: Raleigh.trolleypub.com