*Required Fields
SEMINAR DATE AND LOCATION
*Date:
*Location:
Directions to the seminar locations will be mailed to registered individuals.
CONTACT INFORMATION
*First Name:
*Last Name:
*Affiliated Authority:
Role:
board of director member/authority trustee/commissioner
executive director/president/chief executive officer
representative of executive director - position:
Mailing Address (to send participants advance materials):
*Company Name:
*Address1:
Address2:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip Code:
*Phone:
*Email:
For multiple registrations add additional names &
roles below:
You can also also fax or mail this pdf
registration form to:
SPS Public Authority Training
Graduate Center Suite 8308
365 Fifth Avenue
New York, NY 10016
Phone: (212) 817-7255
Fax: (212) 889-2460
Email: authoritytraining@gc.cuny.edu