Technology Summit

Registration Form

Registration fees include lunch and breakfast. Limited scholarship for community residents are are available on a first-come first-served basis. FEES: Non-Profit Organization: $50.00 before January 6, 2006 and $75.00 On Site. Profit Organization: $100.00 before January 6, 2006 and $150.00 On Site. Click here to access the speaker registration form. Click here to download and print a mail-in application. Please do not include cash payment with mail-in applications. Payment should be in the form of cashier's check or money order made payable to Benedict College. The completed form should be mailed to: Benedict College Division of Community Development 1600 Harden Street Columbia, SC 29204 To submit your application online, please complete the entire form below:

Name: Organization: Address: City: State: Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Telephone: - - Email: Industry: Organization Type: Non-Profit Commercial Cost: For February 27, please check all items applicable to your registration: I will participate in the tour: We are no longer accepting registration for the tour. I will participate in the Opening Reception Yes No I will participate in the Hands-on Workshop: Building Smart & Green We are no longer accepting registration for the workshop.