The Registration Form is also available as a Microsoft Word file which you can download, fill in on your computer, print, and mail.

"Making a Nonprofit Work: Extreme Challenges"
An extreme event targeted at fundraising and technical assistance for the Nonprofit Community.

Date and time:
May 12, 2005
7:00 a.m. - 3:30 p.m.

Location:
Lionsgate Center
1055 South Highway 287
Lafayette, CO 80026

YES! I want to attend.
Please submit a separate form for each registrant.
Photocopy if necessary.

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 ______________________

Signature _____________________________________

# of employees in your organization ____________

___ Please check of you are a Board Member

Registration (check one please):
___ $30.00 Board and Staff Breakfast Only
___ $55.00 Workshops and Lunch (not including Breakfast)
___ $75.00 Full Day (Breakfast, Workshops, and Lunch)
___ $30.00 Lunch Only

Amount Enclosed: ___________

Limited space is available for this event.
Registration will be accepted on a first paid basis and ends Friday, May 6, 2005.

Please make checks payable to The Community Foundation.

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

Phone: 303-442-0436 • Toll Free: 1-877-744-7239
Fax: 303-442-1221

For more information, please call The Community Foundation,
303-442-0436
or email us at