REGISTRATION FORM

The Institute for Sustainable Development
at
Long Island University presents

"Ending Gridlock: East End Transportation Futures"

Yes I / we will attend the Conference

Number of Tickets _____ x $75 each = TOTAL ______________

Name ____________________________________________________________________________

Organization ______________________________________________________________________

Address__________________________________________________________________________

Telephone __________________________ E-mail ________________________________________

Please include a check payable to Southampton College with response

Ticket price includes Continental Breakfast, Luncheon, Conference Proceedings, and post-conference Summary Report.