NEED Workshops

NEED Energy Conference for Educators Online Registration

Please choose your conference preferences:
July 13-17, 2008 Galveston, TX Hotel Galvez
July 20-24, 2008 Las Vegas, NV Flamingo Hotel

First Name

Last Name

School Email

Gender

male female

Subject/ Grade You Teach

School/ Organization

School Address

School City

School State

School Zip code

School Phone number
(with area code)

School Fax number
(with area code)

School District

School County

Home Address

Home City

Home State

Home Zip code

Home Phone number
(with area code)

Home/Summer email

Name you would like
on your nametag

Please note any special needs (disabilities and/or dietary requirements)

Do you require lodging?

Yes No

Do you have a roommate
preference? (enter name)

Please check one:

I need a sponsor

Bill my organization (Registration will be processed upon receipt of a Purchase Order or Billing Information via fax to 800-847-1820)

Additional Comments (25 words or less)

The NEED Project
8408 Kao Circle, Manassas, Virginia 20110
Phone:703.257.1117; Fax:703.257.0037