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Register


REGISTRATION FOR THE 2010 CONFERENCE IS NOT YET OPEN.  DO NOT USE THIS FORM TO REGISTER; IT IS FROM THE 2009 CONFERENCE.  PLEASE CHECK BACK LATER.  THANK YOU.


Go to agenda for detailed information about conference sessions

Submit registration on line below (preferred) or print out and mail/fax the form to Audrey Zelanko below.  You may pay either by credit card or check/purchase order.  Once you submit your registration form on line, a payment form will direct you to pay by credit card on line or print out a form and mail with payment by check or money order.  Please note registration fees below.  All registration fees must be paid prior to the conference.  Remember that hotel registration is separate. 

Registration fees are as follows: early registration $160 (ends 5/20/09), late registration $200 (starting 5/21/09), and one day registration for Tuesday only $75.  If you are a speaker and only attending the day of your session, no payment is due.

Mail or fax this registration form (if not registering on line) to:
Audrey Zelanko
Small Business Environmental Home Page
221 Meadowbrook Drive
Cranberry Township, PA  16066
Fax 724/452-5840

If you are printing out this registration form to submit by mail or fax, go directly to the credit card payment form or check/purchase order payment form to submit payment.

Direct registration questions to Kenya Stump, KY Division of Compliance Assistance, 502-564-0323 ext 134, kenya.stump@ky.gov.

Direct registration payment questions to Marlene Boyle, 502-564-0323 ext 343, marlene.boyle@ky.gov.
    
Direct questions or problems with online form to Audrey Zelanko: 724/452-4722, zelanko@smallbiz-enviroweb.org.
 

Participant Information
First Name Middle Initial Last Name
Agency/Company Name
Mailing Address
City State Zip Code
Work Phone Fax E-Mail Address
I would like to receive email updates on the 2009 SBO/SBEAP National Conference     Yes     No

Affiliation
Please choose which best describes your affiliation with the conference.
Other describe:  
How long have you been with this program (years)?   
Please choose your EPA Region.

Participant Requirements
Please tell us a little about yourself.  Please indicate the appropriate responses.
I have special dietary needs. Please describe your special requirements.
  Yes    Please describe:  
I require visual, audio, or mobility assistance. Please describe your requirements.
  Yes    Please describe:  
Have you previously attended this conference?     Yes     No
Are you bringing resources for the information exchange?     Yes     No
Will you be a speaker/presenter/moderator?     Yes     No
Will you have a spouse/guest also in attendance?     Yes     No
Spouse/Guest Name
Do you need a parking space?     Yes     No
Please provide any additional comments or information:

Conference Registration
Please select the days and events you will be attending.

Monday, June 1, 2009
    Yes     No   10:30AM - 11:30AM  How to Report Results to Show Value 
    Yes     No   1:00PM - 2:00PM  Reporting Results (continued)
    Yes     No    2:00PM - 3:00PM  Newcomer Training
    Yes     No    Optional Trip to Louisville Slugger Museum; go to After Hours Activities web page for more information)
    Number of guests attending (do not include yourself)

Tuesday, June 2, 2009
    Yes     No    8:30AM - 12:00PM  Welcome, State of the Environment and Small Business   
    Yes     No   12:00PM - 1:30PM  NSC Lunch at Hotel (must be NSC member)
      1:30PM - 2:45PM Breakout  Small Business Energy Efficiency Opportunities 
      1:30PM - 2:45PM Breakout  Program Marketing: Doing More with Less
      1:30PM - 2:45PM Breakout  Area Source Rules: What States are Doing
      1:30PM - 2:45PM Breakout -- Not able to attend
      3:00PM - 4:15PM Breakout  Climate Change Legislation and Small Business
      3:00PM - 4:15PM Breakout  Innovative Compliance Assistance Programs
      3:00PM - 4:15PM Breakout  SBA and Regulatory Impacts on Small Business
      3:00PM - 4:15PM Breakout -- Not able to attend
      4:30PM - 5:45PM Breakout  Small Business Sustainability: The Role of Assistance Providers
      4:30PM - 5:45PM Breakout  Encouraging Self-Audits: Use of EPA Audit Policy and the Small Business Compliance Policy
      4:30PM - 5:45PM Breakout  Innovative Permitting and Compliance Mechanisms
      4:30PM - 5:45PM Breakout -- Not able to attend
    Yes     No    5:45PM - 7:00PM  Opening Reception and State Raffle

Wednesday June 3, 2009
    Yes     No    8:30AM - 12:00PM  Small Business Program and NSC Update, EPA Regulatory Updates, Small Business//Trade Association Panels  
    Yes     No    12:00PM - 1:30PM  NCAP Lunch at Hotel (must be a NCAP member) 
    Yes     No    1:30PM - 3:30PM  Regional Meetings
    Yes     No    4:00PM - 6:00PM  Awards Presentation (off-site)
 
Thursday, June 4, 2009
    Yes     No    8:30AM - 11:30AM  Partnership Orientation and Working Session 
    Yes     No    1:00PM - 2:00PM  Multimedia Subcommittee Working Session 
       2:00PM - 3:00PM  Technical Subcommittee Working Session
       2:00PM - 3:00PM  Awards Subcommittee Working Session
       2:00PM - 3:00PM Session -- Not able to attend
       3:30PM - 4:30PM  Measurement Subcommittee Working Session  
       3:30PM - 4:30PM  Promotional Subcommittee Working Session
       3:30PM - 4:30PM Session -- Not able to attend
    Yes     No    4:30PM - 5:30PM  Closing Session
 
Friday, June 5, 2009
    Yes     No    Optional Tour of the Green Building Gallery; go to After Hours Activities web page for more information)
    Number of guests attending (do not include yourself)

 
 
For questions about the 2010  SBO/SBEAP National Conference, contact:
Joan Rogers 202-564-6568
Angela Suber 202-566-2827
For questions about the conference web site, contact: 
Audrey Graylin Zelanko 724-452-4722