Agenda
Online Registration Page
Registration Form

Contact Info

Keishon J. Thomas Extension Housing Specialist
Phone: 478-825-6577
FAX: 478-825-6299
email: thomask@fvsu.edu

 

regional housing conference registration form

Please fill out and print completed registration form and mail-in with payment. All payments should be made out to Fort Valley State University and mailed to:

Keishon J. Thomas
Fort Valley State University
Cooperative Extension Program
1005 State University Drive
Fort Valley, GA 31030

First Name
Middle Initial
Last Name
Street Address
City
State
Zip Code
Agency
Telephone
FAX
Email Address
Regular (By January 25, 2008)
Late (After January 26, 2008)