10th Annual Smart Growth Summit Update

Workshops Announced!

Friday, November 18th, 2011

8:00am-4:00pm

Melville Marriott

Sponsorships are available!

Call our office at 631-754-4452 or email us at info@visionlongisland.org for more information.

Register today!

[ ] Visionary ($15,000) [ ] Leader ($10,000) [ ] Gold Sponsor ($5,000) [ ] Sponsor ($2,000) [ ] ___ seats ($125/person)
Method of Payment: [ ] Check enclosed [ ] Check sent (faxed replies only) [ ] Pay at the door [ ] Credit Card

Attendee Name(s): ____________________________________________________________________________________________

Affiliation:_____________________________________________________________________________________________________

Address: ____________________________________________________City, State, Zip: ___________________________________

Email: _______________________________________ Phone: ____________________________ Fax: ________________________

Credit Card: [ ] Visa [ ] MasterCard [ ] American Express Name, as it appears on card: ____________________________________

Credit Card Number: __________________________________________________ Expiration Date: ___________________________

RSVP or ask any questions by phone to 631-261-0242, by email to info@visionlongisland.org or by fax to 631-754-4452.