College of Natural Resources
Cultivating Resources, Growing the Harvest:

Cultivating a Professional Community To Address the Growing Importance of Natural Resources and the Environment For A Diverse Population

October 18 and 19, 2007

If you wish to register and pay using Visa and Mastercard on-line,
please visit the following web page:
http://www.ncsu-feop.org/diversity.html

If you wish to pay your registration fee by personal or company check, please use the following electronic form
and mail your check before October 5, 2007

Please, only one person per form - Thanks!

First Name:  Last Name:
Company or Organization:
Mailing Address:
City:
State/Province:
Zip Code:
Day Phone:
Evening Phone:
E-mail: (Required)
Special requests:

Please indicate which events you wish to attend:

Student or Professional Participant?
I am interested in registering for a booth at the NC State Minority Career Fair (please see http://www.ncsu.edu/mcf/ for details, pricing, and registration for the fair).  Discounted registration for MCF available to Diversity Summit participants.
Total payment amount enclosed: Please make check out to: NC State University
Check or Invoice Payment information:

Our Mailing address:
Community for Diversity in Natural Resources

NC State University
Campus Box 8001
Raleigh, NC 27695

Sponsorship opportunities offered through the Community for Diversity in Natural Resources. For additional information,
contact Thomas Easley at Thomas_Easley@ncsu.edu or 919-513-0534.

Be sure to print at least one copy of this form BEFORE you click the submit button.
Include a copy of the completed form when mailing your check.

Thank you for supporting the 2007 Diversity Summit