Registration Form - March 4, 2021 Environmental Justice Webinar - Member Registration

IAEP AT YOUR COMPUTER WEBINAR
IAEP MEMBER REGISTRATION FORM
Environmental Justice In Illinois Webinar (Zoom)
Date: Thursday, March 4, 2021 Time: 3:30 pm – 5:00 pm (Program and Q&A)
Location: At-Your-Desk Webinar via Zoom
A link and passcode to the Zoom video conference will be provided within 24 hours of the program.
Please check your junk/spam folder if you do not receive it.
IAEP will provide a certificate for 1.5 Professional Development Hour to attendees within 2 weeks following this event.

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If attendee is registering under a Corporate Membership umbrella, please indicate NAME OF COMPANY *

Membership Address *

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My Membership is registered under the following email address: (Webinar login instructions and a personalized PDH will be emailed to this address) *

If you are registering under a CORPORATE MEMBERSHIP umbrella, please provide the NAME OF ATTENDEE to receive Webinar login instructions and a personalized PDH Certificate: *

If registering under a CORPORATE MEMBERSHIP umbrella, please provide an EMAIL address where the Webinar login instructions should be sent, along with a personalized PDH Certificate: *

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Copyright 2022 IAEP All Rights Reserved.

No Image or Text can be reproduced from this site without permission from IAEP.