September 1st - 2nd 2009

• $20 - Students
• No cost - Nonprofits/Government (501(c)3 certificate may be requested)
• $100 - Regular Registration (includes 2nd day workshop)
• $285 - LRS credits with one year membership/renewal Air and Waste Management Association (AWMA) (includes 2nd day workshop)

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* Required Information

First Name :*
Last Name: *
Badge Name:
Organization: *
Title:
Street Address: *
City: *
State: *	AL AK AS AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code: *
Phone: format: xxx-xxx-xxxx
Fax: format: xxx-xxx-xxxx
E-mail:

Registration Type:*

--Please Select One-- Nonprofit or Government Student ($20) Regular Registration ($100) LRS ($285)

Conference Tracks

Most likely to attend: (check all that apply) Draft Agenda

Day 1 Conference: Track 1 Track 2 Track 3 a.m (LRS) Track 3 p.m (Grant Writing) Day 2 Workshops B.Y.O.B (Bring Your Own Brownfield)

Payment Methods

Check in the amount of $   Payable to Marshall University Research Corporation.

mail check to:

Teresa Buckland MARSHALL UNIVERSITY-CEGAS One John Marshall Drive Huntington, WV 25755-2585

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Credit Card - To charge by credit card, please call Teresa Buckland at 304-696-3568 or fax the form found here to 304-522-4901

Sponsorship Details

Bronze ($500) (unlimited number)
Includes: 1 regular registration (LRS separate), 1 exhibit space, logo on conference materials with description of organizations services.

Silver ($1,000) (limit 2)
Includes: 2 regular registration (LRS separate), 1 exhibit space, logo on conference materials with description of organizations services, inclusion on sponsorship posters as conference breakfast sponsor.

Gold ($2,000) (limit 4)
Includes: 3 regular registration (LRS separate), 1 exhibit space, logo on conference materials with description of organizations services, inclusion on sponsorship posters as conference track sponsor.

Platinum ($5,000) (limit 1)
Includes: 4 regular registration (LRS separate), 1 exhibit space, logo on conference materials with description of organizations services, inclusion on sponsorship poster as conference lunch sponsor.

I am interested in Sponsorship, please contact me.

Exhibit Space

I am interested in Exhibiting, please contact me. $250 Includes exhibitor space and table, name included in conference materials.

 Submit registration form

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Registration:	Sponsors & Exhibits B.Y.O.B. Projects:	LRS (AWMA):
Teresa Buckland 304.696.3568 Fax: 304.522.4901 buckland@marshall.edu	Patrick Kirby 304.293.2867 ext 5459 patrick.kirby@mail.wvu.edu	Bill O' Brien 304.776.5685 billob@citynet.net