Neighborhood Networks Week Registration Form
August 4–9, 2008
Indicates this field is required.

Property Name
Center Name:
First Name: MI: Last Name: Title:
Street:
City: State: Zip:
Phone: Fax: Email:

Please answer the following questions:
1. Type of housing served (check all that apply)
Senior Family Assisted Market rate
Section 8
Section 236
Public housing
2. Event information

Name of Event:
Date: Start Time: End Time:
Description of Event (activities planned, special guests, etc.):
Anticipated Attendance:


For more information about Neighborhood Networks Week national events, please call the Neighborhood Networks Information Center toll-free at (888) 312–2743. The hearing impaired may access Neighborhood Networks via TTY by calling the Federal Information Relay Service at (800) 877–8339.