Udbr Conference Registration Form

Drue Ellen Lawlor, FASID,

John P.S. Salmen, AIA

Eleanor Smith

The UDBR - Atlanta Conference exists to provide designers, builders, remodelers, architects, home inspectors, real estate agents and other members of the home improvement trade, the most up to date information, resources and courses on universal design in residential housing. The objective is to have these groups readied now as the demand for universal design evolves from a trend to a standard. Visit UDBRExpo.com for a full line-up of speakers, topics, CEU info and more! REGISTER NOW Registration Information Company Name: __________________________________

Number of Registrants: ____________

Registrant Name: __________________________________

E-mail address: _____________________________________

Street Address: ________________________________ City: _______________ ST: _____ Zip: ________ Phone: ___________________________

Fax: ___________________________

Additional Registrants from same company Registrant Name: __________________________________

E-mail address: _________________________________

Registrant Name: __________________________________

E-mail address: _________________________________

PAYMENT INFORMATION Full Conference $299 for first registrant, $269 for all additional same company registrants. Discount available for members of NARI, NKBA, HBA, ASID, GaREIA, NAIPC - full conference $249 if taking discount please circle your membership affiliation Charge my: _____AMEX

_____Visa

_____MC

Account #: ______________________________

in the amount of: $__________ Exp. Date: ________________ Billing Zip Code:_____________

Authorized Signature: _________________________________ Date: _____________ If you have any questions, please contact Katey Oelkers at 770.998.9800 x 227 or FAX 770-642-4715