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COMMUNICATIONS UNLEASHED
REGISTRATION FORM
Space is limited so register early.
Please print and mail.
Name ______________________________________________________________
Address ___________________________________________________________
City_________________________________State________Zip______________
Telephone____________________________E-mail________________________
Payment method: Check___Visa___MC___Card #___________Exp. Date_____
Early registration: through 10/9
Late registration: postmarked after 10/9
Early registration Late registration
CPSR $60______ $70______
Non member $85______ $95______
New CPSR membership ($50 value)
& registration $105______ $115______
Low income/student $25______ $35______
Saturday night buffet $25______ $30______
Additional donation to further CPSR's work ________
Total enclosed: ________
Scholarships are available. For more information contact the CPSR national office at 415-322-3778 or cpsrannmtg @ cpsr.org . Make check payable to CPSR.
Send the completed registration form with payment to:
CPSR
PO Box 717
Palo Alto, CA 94302-0717
This page last updated on September 30, 1996 by Paul Hyland.
Archived CPSR Information
Created before October 2004
Created before October 2004
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