2011 Michigan Green Chemistry and Engineering Conference - $100

* Name (first & last):
* Organization Name:
* Mailing Address:
* City:
* State:
* Zip Code:
* Daytime Phone:
Email:
	Confirmations will be sent 1 week prior to the workshop to those providing an Email address listed above. Yes, please notify me via Email of future training (If you check this box, be sure and include your Email address in the box above.)
* Lunch Choice (select one):	Regular Vegetarian
* Select which sector you represent (check one):	Academia Business Government Non-Profit Student ($50 discount rate) Other
Comments:
Cancellation Policy:  If you do not cancel by 5:00 p.m. four business days before the workshop, you are responsible for the registration fee.
* Payments:	I will pay by credit card. See secure credit card processing instructions on the confirmation page. I will send a check for the registration fee.  See mailing instructions on the confirmation page. I am a conference speaker.