Citizen Planner Manistee County Classroom Program

Register Groups Here

Required fields are indicated with an asterisk (*)

Organization Contact Information

* Organization/Unit of Government

* Responsible Contact

* Address

Addt'l Address

* City

* State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland & Labrador North Carolina North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Not Applicable

* Zipcode

* Phone Number

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Participant Information

* Participant 1

Participant 1 - Phone Number

Participant 1- Email Address

* Participant 2

Participant 2 - Phone Number

Participant 2 - Email Address

* Participant 3

Participant 3 - Phone Number

Participant 3 - Email Address

* Participant 4

Participant 4 - Phone Number

Participant 4 - Email Address

Participant 5

Participant 5 - Phone Number

Participant 5 - Email Address

Participant 6

Participant 6 - Phone Number

Participant 6 - Email Address

Participant 7

Participant 7 - Phone Number

Participant 7 - Email Address

Participant 8

Participant 8 - Phone Number

Participant 8 - Email Address

Participant 9

Participant 9 - Phone Number

Participant 9 - Email Address

Sessions

* All of the people registered above will be attending the Citizen Planner Manistee County Classroom Course

* Number of Participants Registered Above ($225.00) Please type in the number of people you have registered. The cost is $225 per person. The system will automatically calculate your price at completion of registration.

Special Dietary Needs:

How did you learn about Citizen Planner?

* How did you learn about Citizen Planner?   Citizen Planner e-newsletter  Mailed postcard  Local news article  Meeting/Co-worker  Citizen Planner website  Other 

If other source, please identify: