Information Request

Complete the form, then click on the "Send 2 Us" button at the bottom of the page to submit.

Fields marked with * are required.

Indicate what type of information you'd like to receive:*

(to make multiple choices hold down the 'ctrl' (PC's) or the Command (MAC's) key when clicking on your selections)

Indicate which programs you are interested in:*

(to make multiple choices hold down the 'ctrl' (PC's) or the Command (MAC's) key when clicking on your selections)

**Enter the following information:**
First Name:*
Last Name:*
Position:
Municipality:*
E-mail Address:
Address 1:*
Address 2:
City:*
State:*
Zip Code:*
Phone:	( ) -

Comments:

Please click the "Send 2 Us" button to submit your request. Thanks for your interest.

Contact information:

Kassie VanRemortel
Director of Governmental Affairs and Economic Development
Outreach and Extension, WH 480
University of Wisconsin-Green Bay
2420 Nicolet Drive
Green Bay, WI 54311-7001

Phone: 920-465-2468 or 800-892-2118

E-mail:

An Equal Employment Opportunity Affirmative Action employer, UW-Green Bay provides equal opportunity in employment and programming. Please advise us at least two weeks before the program if you have a disability and desire special accommodations.