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Build and Buy Green 2014 Registration Form
May 7, 2014 - 8am-4pm
First Name
*
Last Name:
*
Email Address
*
Company / Organization:
*
Phone Number:
*
Occupation / Title:
*
Payment Information
Registration Fee: $25
Additional Information
If you have any questions, please contact:
GSuzuki@dbedt.hawaii.gov
How many tickets?
*
1
2
3
4
What will be your transportation to the event?
Single Occupant Vehicle (conventional)
Bicycle
Bus
Low Emitting/Fuel Efficient Vehicle (i.e. hybrid, biofuel, electric)
Moped/Motorcycle
Walk/Run/Jog
Make
Model
Year
Carpool - # of passengers in vehicle
If your commute to the conference originated on Oahu, please indicate the town name (i.e. Kaimuki)
If you traveled from outside of Oahu, please indicate your city of origin and name of hotel where you will be staying.
For off-island travelers, did you purchase carbon offsets?
Yes
No
where did you purchase your carbon offsets?
We encourage you to bring your own water bottle to contribute to a reduced waste event. Will you be bringing your own water bottle?
*
Yes
No
Payment Options
How would you like to pay?
*
Pay by cash at the door
Pay by credit card via Square at the door
Receive a direct PayPal payment request from USGBC
Send a check to USGBC by Monday, May 5.
If paying by check, please mail to:
U.S. GREEN BUILDING COUNCIL
HAWAII CHAPTER
1050 Bishop Street #345
Honolulu, HI 9681
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