WasteCap Wisconsin Training Reunion and Feedback Loop Registration Form

Registration Deadlines: Register before Feb. 19 for the Milwaukee session and before Feb. 26 for the Madison session.

Yes I will attend one of the Training Reunion and Feedback Loop sessions in order to maintain my WasteCap Accreditation. This box must be checked to complete the form.

Name:

Title:

Company/Organization Name:

Address:

City:

State:

Zip:

Phone Number:

Email:

Please select a session to attend:

		Milwaukee on Feb. 22 from 4 - 6 p.m. at Marine Terminal (120 N. Broadway)
		Madison on Mar. 1 from 4 - 6 p.m. at the Overture Center for the Arts (201 State St.)

Would you like to briefly present a story at the session from you construction or demolition waste management experience?It can be a story of disaster (we can all learn) or success or anywhere in between. We can accommodate visuals if you have them. Please indicate a response below:

		Yes, I would like to present a story.
		I might be interested in presenting a story. Please contact me.
		No, I do not wish to present a story.