ICC Training registration form
Registration FormICC International Green Construction Code Training Workshop (includes workbook & lunch) $75.00 per person June 23, 2011 7:30 a.m. -4:00 p.m. Fire Station 5 2080 High
Ridge Rd, Boynton Beach Name Organization Address City/Zip Phone e-mail Date Payment & RegistrationPlease e-mail or fax your reservation today to assure a seat fax to: 561-742-6851 or
use the e-mail button above (leek@bbfl.us)Limited enrollmentPayment must be received by June 20, 2011 Make Checks Payable to: City of Boynton Beach Mail to: City of Boynton Beach Development
Attn: Kathleen Lee P.O.Box 310 Boynton Beach, FL 33425-0310 www.boynton-beach.orgFor more information, please contact Nancy Byrne, 561-742-6372, byrnen@bbfl.usFor payment or reservation
assistance, please contact Kathleen Lee, 561-742-6621, leek@bbfl.usInternal Use OnlyAmount PaidCheck No.Date Print Form Submit by Email