FAX or Mail-in Registration Form

ENVIRONMENTAL DESIGN II
October 10 and 11, 2002

Sponsored by Portland State University and Zero Waste Alliance
Location:  Oregon Center for Advanced Technology Education (OCATE)
                  18640 NW Walker Rd., Beaverton, OR  97006

I am registering for (check all that apply):
___  $285.00    Full workshop - $300 if postmarked after September 26
___  $150.00    One day only   - $160 if postmarked after September 26
___  $185.00    Full workshop, non-profit/student
___  $100.00    One day only, non-profit/student

Total $_____________                (Course # BF 210)

Payment method:
___ Check enclosed (make payable to PSU Extended Studies, mailing address below)
___ Purchase order # ______________
       Billing address for P.O.________________________________________
                                         ________________________________________

Mail to:  PSU Extended Studies Environmental Programs, PO Box 1491, Portland, OR  97207
Fax to:   503-725-4840
Registration questions:  Call PSU Extended Studies 800-547-8887, ext 4618 or 503-725-4618 or email questions to onlinereg@ses.pdx.edu.
For all other questions, please call Wayne Rifer, 503-644-0294.