2003 Smart Growth Summit

"Making Smart Growth Work"

Friday, November 21st from 8:00AM - 4:00PM

at the Huntington Town House, Huntington Station, NY

Registration Form

Please reserve a place for me/my organization:

___  Smart Growth Visionary   ($10,000)

___  Smart Growth Sponsorship ($2,000)

___  Smart Growth Leadership ($5,000)

___  Seats ($125 per seat)

Visionary package includes:

 
  • Logo in follow-up materials
  • Engraved plaque honoring your efforts
  • Logo in program
  • Special recognition at the event
  • Table for 10
  • Banner display
  • Program listing
  • Framed certificate
  • Logo in advertisements
Leadership package includes:    
  • Logo in program
  • Listing in follow-up materials
  • Special recognition at the event
  • Table for 10
  • Banner display
  • Program listing
  • Framed certificate
  • Logo in advertisements
  Sponsorship package includes:  
  • Table for 10
  • Banner display
  • Program listing
  • Logo in advertisements
Method of payment:  

___  Check enclosed    

___  Check sent (fax replies only)

 ___  Pay at the door

 

Attendee Name(s):___________________________________________________________
Firm: _____________________________________________________________________
Address: __________________________________________________________________
Town, State, Zip: ____________________________________________________________
Phone: _______________________________ Fax: ________________________________
Email: ____________________________________________________________________
   
*Credit card option:            ___ Visa      ___MC ____ AmEx       ____ Disc  
Name as it appears on the card: _________________________________________________
Card Number:  _____________________________ Exp. Date (dd/mm/yy): ______________

                                                                                                                 

Mail or fax registration form to:

Vision Long Island – Creating Smart Growth Communities
24 Woodbine Ave.• Suite One • Northport, NY 11768

Phone:631-261-0242 • Fax:631-754-4452 • Email:info@visionlongisland.org