NEBRASKA DEPARTMENT OF ENVIRONMENTAL QUALITY
Registration Form – NDEQ Air Quality Update Workshops 2012
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Registration Deadline – 2 weeks prior to event
Payment:
There is a registration fee of $20 for each workshop attended.
The registration fee must be paid in advance (check only).
Instructions:
Click in each box to fill in your information.
Submit your registration by clicking the Submit button near the bottom of this page.
Print the completed form using your browser's print function (Internet Explorer and Chrome - Right click on the screen and select print from the menu - If using Firefox use the Firefox menu - select Print)
Mail the completed form and the $20.00 registration fee to
NDEQ – Air Quality Division,
P.O. Box 98922,
Lincoln, NE 68509-8922
If you want to attend multiple sessions, submit the first completed form and when you receive the "Thank You" message press the back button on your browser window, change the session location and resubmit.
* Required Fields
Today's Date
4/25/24, 7:05 AM
First Name:
*
Last Name:
*
Company:
*
Address:
City:
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State:
Zip:
Phone:
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Email:
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Session - Select one:
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Grand Island - August 22 (Register By August 8)
Scottsbluff - August 23 ( Register By August 9)
Norfolk - August 28 (Register By August 14)
Lincoln - August 30 (Register By August 16)
Which presentation are you most interested in?
*
Select one
Permitting 101
Emission Inventory
Do you have any questions you would like answered at the Workshop?
Lunch, morning snacks and beverages will be provided.
If you prefer a vegetarian lunch please check the box at the right.
Vegetarian lunch, please.
If you have any questions, please contact Tracy Thompson at (402) 471-4272 or email NDEQ.AirQuality@nebraska.gov
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Nebraska Department of Environmental Quality
1200 "N" Street, Suite 400
P.O. Box 98922
Lincoln, Nebraska 68509
(402) 471-2186