“Going
for the Goal: Comprehensive Smoke-free Policy”
Thursday, March 24, 2011
8:00 a.m. – 4:30 p.m.
Griffin Gate Marriott Resort, Lexington, Kentucky
1-800-266-9432
_______________________________________________________________________________________________________________________________
Registration Form
Please complete this form no later than February 28 th, 2010 and email or fax it to:
Nina Marijanovic at nina.marijanovic@uky.edu Fax: 859.323.1057
Name: ___________________________________________________________
Address: ________________________________________________________
________________________________________________________
County/District: _______________________________________________
Telephone: _____________________________________________________
Fax: ______________________________________________________________
Email address: _________________________________________________
Website address: ______________________________________________
Do you have dietary restrictions? Yes/No
If yes, please explain: _______________________________________________________
Driving Directions: http://www.marriott.com/hotels/maps/travel/lexky-griffin-gate-marriott-resort-and-spa/
Although we are not able to cover lodging charges, we do have rooms on hold for this event. Room reservation deadline is
March 2nd, 2011. Please let the booking agent know you are attending the U.K. KCSP Smoke-free Spring Conference.
For additional information, please contact Nina Marijanovic at 859.323.4599 or email to
nina.marijanovic@uky.edu.
Kentucky Center for Smoke-Free Policy