This on-line workshop registration form is intended to allow for fast and easy registration. Registrants will receive e-mail confirmation when their registration has been received and processed. Please note that all fields marked with a * must be filled out for this form to be processed.

*E-mail:
*Reply E-mail:	Listed as inform_email on "Error-Blank Fields" page.
*Name:
*Firm/Organization/ Agency:
*Title:
*P.O. Box/Street :
*City:
*State/Territory/ Province:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
*Zip:
*Phone:	( ) - -
Fax:
*Workshop Dates:	Select your workshop date below.
Pitt County Center, Greenville, NC	May 16, 2003
Wake County Center, Raleigh, NC	June 6, 2003
*Registration Fees: Find Category and Select Fee.	Get the mailing address and send check payable to NC State University for the total of the amounts indicated below:
Category: Continuing Education Credit - Fees for registrants receiving any continuing education credit(s). A workshop notebook and meals are included with this fee. You will select the type(s) of credits you want to receive from the Continuing Education Credits section of this form. You may select more than one.
Early Fee	$125.00				See Early Deadlines.
Regular Fee	$150.00				See Regular Deadlines.
Category: No Continuing Education Credit - Fees for registrants not receiving any continuing education credit(s). Meals are included. A notebook is not included with this fee. Registrants under this category may purchase one separately. Go to Notebook.
Early Fee	$30.00				See Early Deadlines.
Regular Fee	$40.00				See Regular Deadlines.
Category: Scholarship for Extension Agents, Non-Profit Organizations, and Professionals: Meals and a notebook are included. Limited number of scholarships are available.
Scholarship You may register using this option after contacting Ted Feitshans.	Scholar				Scholarship requests must be received by 5:00 PM on March 21, 2003 for the April 4th workshop, May 2, 2003 for the May 16th workshop, and May 23, 2003 for the June 6th workshop. Requests should be addressed to ted_feitshans@ncsu.edu.
Category: Landowners Interested in Conservation Easements: Meals and a notebook are included. Limited number of scholarships are available.
Landowner Interested in Conservation Easements Because of limited funding and space we ask that only landowners who are interested in conservation easements attend under this fee category.	Lndwner				There are a limited number of scholarships available for landowners to attend these workshops. Continuing education credit is not available to registrants attending under this fee category.
Just Ordering Notebook					Select this button if you are ONLY ordering a notebook. Then select $20.00 below. Please remember to add $5.00 for shipping and handling.
Registrants must attend workshop to receive notebook or for an additional charge of $5.00 the notebook may shipped.
Notebook	None 20.00				Leave none selected if you do not want a notebook.
*Payment Method:	Check Sent
Submit a PO# if this option is selected.	Check Sent Upon Receipt of Invoice
PO#:	(Type None if this does not apply)
Please only select this if you have contacted workshop coordinators.	Not Applicable
Continuing Education Credits: List Appraiser Certificate# for ACE and State Bar# for CLE	Please indicate below the type(s) of continuing education credits you are attending to receive if any. Please also note attendance policy for receipt of continuing education credit. See Continuing Education Credit page for updates as to what credits may be available.
Appraisers ACE Approved 7	None ACE	Cert.#
Attorneys CLE Approved 8 (7 General/1 Ethics)	None CLE	Bar#
Foresters CFE Approved 8	None CFE
Planners CPDP Approved 8	None CPDP
Accountants CPE Recommended 6	None CPE	See Continuing Education Credit page regarding CPE.
*Total of All Fees:
Enter the total amount of all fees here: $ This form will not submit without an amount entered.
Questions about these types of continuing education credits or others? Go to Continuing Education Credit.
Please be sure to note additional comments or describe any special needs which you may have below. Your opinions about this website are also greatly appreciated.

Thank you for filling out and submitting this registration form. We look forward to confirming your registration.

All workshop on-line registrations are submitted to cathy_scache@ncsu.edu and brandon_king@ncsu.edu.
If you have questions or concerns regarding your workshop registration please contact us. Contact information is available by clicking on the following link: Contact Info.