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VCGS Seminar 2010
Registration Form
Please print and complete this form, then
mail it with check (payable to VCGS)
before October 1, 2010, to:
VCGS Seminar
P.O. Box 24608,
Ventura, CA 93002


 
 
#
                Registration Type / Fee (includes lunch and syllabus)
    VCGS Member(s) @ $30.00 ea (received before October 1st)
    VCGS Member(s) @ $35.00 ea (received on or after October 1st)
 
  Non-VCGS / Affiliated Club Member(s) @ $40.00 ea
(please indicate the number of registrations in the box to the left of each type)




Name: ___________________________________________

Address: __________________________________________

City: _____________________   State: ____   Zip: __________

Home Phone: (____) _______________

E-Mail Address: _____________________________________

Comments: ________________________________________

________________________________________________

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Questions?  Contact Nancy Jaeger @ e-mail vcgs2010seminar@verizon.net