BIFHS–USA | 2009 Seminar (Saturday, October 10)

Registration Form

Early registration discount if postmarked by September 14, 2009.
No syllabus for registrations postmarked after September 30, 2009. NO REGISTRATIONS AT THE DOOR.

Registrant(s)

Name(s):
Street Address:
City:
State:	Zip:
Phone:	Email:

Registration(s)

NO.	PRICE	AMT.
	BIFHS–USA member(s) @ $30 (postmarked by SEP 14)
	Non-member(s) @ $35 (postmarked by SEP 14)
	BIFHS–USA member(s) @ $40 (postmarked SEP 15–30)
	Non-member(s) @ $45 (postmarked SEP 15–30)
I should like to add a donation to help support BIFHS–USA's fine programs (For each $5 donation, you'll receive three additional door-prize tickets)
TOTAL:

Method of Payment

Check or Money Order payable to BIFHS-USA or

Card No.:	Expiration Date:
Print name at it appears on card:	Signature:

Please mail registration form and check or credit card information to:

BIFHS–USA
c/o Kay Ronald Devonshire
2800 Neilson Way, #402
Santa Monica, CA 90405-4029

Last edit: Sunday, 07-Jun-2009 21:31:37 MDT