Registration

Please print and mail with payment or pay below with a credit card (surcharge applies)

Name ______________________________________________________

Address ___________________________________________________

City/ST/Zip ________________________________________________

Phone ________________________________

Email____________________________________________________

Registration Registration Total

# Coming Before 2-1-08 at the door Due

_____   Friday night event (no charge)         -0-            -0-               $   -0-
_____   Lecture/Lunch/Award Banquet        $75         $100            $_______
_____   Lecture/Lunch @ $50/person        $50        $ 75              $_______
_____   Award Banquet @ $35/perso          $35         $ 60              $_______
_____   Trade Show Table @ $25/table       $25                             $_______
                        + raffle donation
_____   Raffle Tickets @ $1 each               $ 1         $   1             $_______

                                                               Total Amount Due $

Payment must accompany registration. Full refund if registration is cancelled by Feb. 5, 2008

Mail to:                        Jo Ann Kewish, PO Box 183, Howard, Co 81233

Before: February 1, 2008

To Cancel: Call Jo Ann Kewish at 719-942-4203 or email rkewish@ris.net by Feb 5, 2008 and receive a full refund.

Lecture/Lunch/Award Banquet @ $75 + $2 surcharge/person
Lecture/Lunch @ $50 + $2 surcharge/person
Award Banquet @ $35 + $2 surcharge/person
Note: You will choose how many tickets to purchase on the next screen.