| The Registration Form is
available as a Microsoft Word form which you can download,
fill in on your computer, print, sign (if charging to
MasterCard or Visa) and mail.Your information goes in
the shaded boxes, which will expand as you type. Press
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the Registration Form.
Expanding Leadership:
How Can
Boulder County Non-Profit Leadership
Grow to Better Reflect the Community?
Date and time:
Friday, May 11, 2007
8:00 a.m. - 3:00 p.m.
Location:
Radisson Conference Center
1850 Industrial Circle, Longmont
YES! I want to attend.
Please submit a separate form for each registrant.
Photocopy if necessary.
Name _________________________________________________
Organization
_________________________________________________
Title _________________________________________________
| Mailing Address: |
Home _____ |
Business: _____ |
________________________________________________
________________________________________________
City _________________________________________________
State _____ Zip ______________
Phone (H) ________________
(Bus.) ___________________
Fax _____________________________________
E-mail ___________________________________
Payment Type:
Check _____ Visa
or Mastercard _____
Visa or Master Card # _______________________________________________
Expiration Date _____/______
Billing Zip _____________
Signature _____________________________________
Registration * (check one please):
___ $70.00 Full Day (Lunch and Workshops)
___ $30.00 Lunch Only
*Team Discount: Organizations
with five or more members attending the full conference
will receive a 20% discount on their fees. To ensure
receipt of discount all registrants must be sent in
at one time.
Amount Enclosed: $ ___________
Limited space is available for this event.
Registration will be accepted on a first paid basis;
pre-registration and ends Monday, May 7, 2007. Registration
on the day of the event is per availability, and there
will be an additional fee of $10 per registration.
Please make checks payable to The
Community Foundation.
Send payment enclosed with this form to:
The Community Foundation
1123 Spruce St.
Boulder, CO 80302
or
Fax to: 303-442-1221
For more information, please call The Community
Foundation,
303-442-0436 • Toll Free: 1-877-744-7239
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