Registration Form

Payment must accompany your registration form, unless you will be wiring the funds. Admittance to the Workshops will not be allowed unless payment is received. No refunds will be given for cancellations received within 21 days of event ( * - Required Field).
Company & Contact Information
*Name:
*Company:
*Address:
*City:
*State
*Zip/Postal Code:
*Country:
*Telephone:
Fax:
*E-Mail Address:
Please contact me about my special needs with accommodations, meals or other needs.
   
  Register 14 days prior for discounted advance registration fee.
   
Workshop to Attend
 
Please note the Academy Workshops are open to ICMA members only. The Green Summit is open to all.

Early Discount Registration Deadlines (14 days prior to event)
– Register by: September 2 for Green Summit, September 3 for Chicago Workshop, September 17 for Dubai Workshop, and October 5 for Rome Workshop.

NOTE: Registration for these events after these deadlines will increase by $50 (per event).

Check all that apply:

Package

   
Payment Method
Credit Card
VISA
MasterCard
American Express
Discover
Credit Card #:

Exp. Date (e.g. 03/99):

Name on Card:
Wire Transfer information requested
 




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