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registration.html
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