Lead-Safe Indiana Conference 2001

Photo courtesy John Winters

Thanks to The Boren Foundation, and Jack and Karen Kay Leonard for making this website possible.

Lead-Safe Indiana Conference - Nov. 7 & 8, 2001
CONFERENCE REGISTRATION FORM

You may email the following information to Tom Neltner at mccabe@ikecoalition.org instead of sending in a paper form. If you choose to mail it, please send it to "Lead-Safe Indiana Task Force, 5244 Carrollton Ave., Indianapolis, IN 46220-3181

NAME _____________________________________________
ORGANIZATION _____________________________________
ADDRESS __________________________________________
CITY, STATE, ZIP ____________________________________

PHONE ____________________ FAX _________________

E-MAIL ___________________________________________

Registration Fee
□ Yes, I want to participate in the conference.
□ Yes, I am the first registrant from my organization.
□ Yes, I want to take inspector/risk assessor refresher training.
□ Yes, I want to be an exhibitor.
□ Booth □ Tabletop □ “Take One” Table
Registration Information: You may register by fax (866-234-8505) or e-mail (mccabe@ikecoalition.org) or by mail. If you need special arrangements to attend the conference, please contact Tom Neltner at 317-442-3973 by October 11 so arrangements can be made. We want diversity! Scholarships are available to concerned parents, neighborhood leaders and community activists. Ask!