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REGISTRATION FORM <br /> 23rd ANNUAL <br /> PLANNING COMMISSIONERS' SEMINAR <br /> Sonoma State University <br /> Saturday, December 2, 2006 <br /> For your convenience, we accept checks or credit card payments. Please return this form with <br /> your payment. Checks should be made payable to Sonoma State University. For credit card <br /> transactions, please contact Jo-Ann Smith at 707/664-2306 or complete your payment <br /> information below. The total amount due is$85 per attendee (includes lunch and materials). <br /> Name of City or Agency: <br /> Name of Attendee: Title: Daytime Phone: Email: <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Mail to: Institute for Community Planning Assistance <br /> Rachel Carson Hall 18 <br /> Sonoma State University <br /> 1801 E. Cotati Avenue <br /> Rohnert Park,CA 94928 <br /> FAX: 707/6644202 <br /> Email questions to: loann.smith@sonoma.edu <br /> Credit Card Information: Name: Amt. <br /> Visa or MasterCard: Exp. Date: <br /> REGISTER EARLY, AS SPACE IS LIMITED <br />