CRS User Group Registration

RI CRS USERS GROUP REGISTRATION
PRESENTED BY: RI Emergency Management Agency (RIEMA) and RI Flood Mitigation Association (RIFMA)

WHEN: Tuesday, September 9, 2014

TIME: 10:00AM - 12:00PM

WHERE: Warwick Public Library

                 Room 101

                 600 Sandy Lane

                 Warwick, RI 02886

Please note: There is no cost to attend; however, registration is required to determine room setup.

To attend, please fill out the following form:
Full Name:

First NameLast Name
Affiliation:
What is your job title?
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
E-mail:
Are you a Certified Floodplain Manager (CFM)?
Are you a certified planner through the APA?
Should be Empty: