Name ____________________________________________________________

Title _____________________________________________________________

Organization Representing ___________________________________________

_________________________________________________________________

Address __________________________________________________________

_________________________________________________________________

City _____________________________________________________________

State _____ Zip ____________________________________________________

Phone ____________________________________________________________

Fax ______________________________________________________________

E-mail ___________________________________________________________

Please check one:
___ My check is enclosed
___ Please charge my credit card
Visa or Master Card # _______________________________________________
Expiration Date ______________________

# of Employees in your organization ______
Annual Budget _______________________

Registration (check one please):
___ $25.00 Board and Staff Breakfast
___ $55.00 Workshops and Lunch
___ $75.00 Full Day
___ $30.00 Lunch Only

Amount Enclosed:___________

Limited space is available for this event.
Registration will be accepted on a first paid basis and ends Monday, April 23.

Please make checks payable to The Community Foundation.

Send payment enclosed with this form to:
The Community Foundation
1123 Spruce St.
Boulder, CO 80302

Program Description      Presenter Biographies

Date and Time: April 26, 2001, 7:15 a.m. - 4:30 p.m.

Location:
Spice of Life Event Center
5706 Arapahoe Road
Boulder, Colorado

For more information, please call The Community Foundation, 303-442-0436
or email us at info@commfound.org