ISIN - Registration for Poster Session

Name _________________________________________________________________________ Organization _________________________________________________________________ Title of Poster Session: ______________________________________________________________________________ ______________________________________________________________________________ Description of Poster Session (~3 sentences): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Check one: _____ I have registered for the meeting and will bring my poster with me. _____ I cannot attend the meeting. Meeting participant ____________________ will be responsible for setting up and removing my poster. If you are not attending the meeting, please provide the following contact information: Mailing Address ______________________________________________________________ City, State/Province, Postal Code ____________________________________________ Country ______________________________________________________________________ Email ________________________________________________________________________ Tel: _______________________________ Fax _____________________________________ **************************************************************************************** Please return your completed registration form by fax to Dave at (978) 975-1934, by email to dpiechota@sustainabilityindicators.org, or by mail to ISIN, Attn: Poster Session Registration, P.O. Box 361, North Andover, MA 01845.