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2011 COLORADO SETH CONFERENCE

2011 REGISTRATIONS

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IF YOU WISH TO REGISTER MORE THAN ONE PERSON
COMPLETE & CONFIRM THE FORM SEPARATELY FOR EACH ONE!
(Your payment amount will include all registrations.)
If you accidently hit the return key (rather than the tab key)
before your Registration form is complete, use the back button on your browser to complete the form.

CONTENT	YOUR INFORMATION	* indicates Required!
First Name* / Last Name*	*	*
Address*	*
City* / State*	*	*
Zip Code* / Country	*
Phone*(s):	Preferred*	Other
	Don't include Phone on the Roster:	'Hold the phone'
Email
Your Meal Choice*	Non-Vegetarian Vegetarian	3 Group Meals are included in your conference fee.
Request ROOM or RIDE Sharing	Roommate: Woman Man	Ride Sharing from DIA I Need a Ride I can Give a Ride
This is my first Colorado Seth Conference	Yes No
CONFERENCE FEE	$ 400	Before 22 Sep 2011
Payment method*	Credit Card Check	We accept Visa, Master Card, and Discovery
Number of Registrations for a single payment*	Number of People being registered* = Number of Forms (should be set the same for each form in an order.)*

* Required entries

Confirm your Registration

NOTE: If you want to pay by check, you can fill in your registration forms on-line,
then mail your check. Registration is not complete until payment is received!

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