Green Housing For All Registration Form
Information
FIRM NAME:
_______________________________________
ADDRESS:
_______________________________________
_______________________________________
_______________________________________
PRIMARY CONTACT PERSON:
_______________________________________
PHONE:
_______________________________________
EMAIL ADDRESS:
_______________________________________
REGISTERED ARCHITECT ON TEAM
(list)
_______________________________________
NAME
_______________________________________
REGISTRATION # STATE
Payment
(check or money order made payable to
CITY OF NORTHAMPTON)
_____ First Submission $100
_____ Additional Submissions $100/each
(____) Less $25 (each) if registering by 12/22/17
$______ TOTAL ENCLOSED
Mail to:
Wayne Feiden, FAICP, Hon WMAIA
City of Northampton
Planning & Sustainability
210 Main Street
Northampton, MA 01060
□ I grant the City of Northampton and WMAIA non-
exclusive license to use the work submitted in conjunction
with the awards program described herein.
Just Big Enough — Green Housing for ALL
Architectural Design Competition
Registration Form
Submissions due: January 22, 2018
Early Registration (with discount) — submit this form by December 22, 2017