Please feel free to make photocopies of this form.
Please return registration with payment by
NAME
TITLE
COUNTY/AFFILIATION
BUSINESS ADDRESS
CITY _________________________________________STATE____________ZIP
BUSINESS PHONE
GUEST NAME (IF ANY)
Full Participant Registration
________CCTA Member or Associate Member
$
N/C
________Non-CCTA Member________@ $200
$
Public Trustee Seminar Registration Only
________Colorado County Public Trustee Member
(CCPTA Members only)
$
N/C
________Non-CCPTA Member________@ $30
(includes lunch)
$
Late Fee (ALL registrations postmarked after
________@ $20
$
Payment must be enclosed to guarantee registration.
Refunds will be made on all cancellation requests before
after which date no refunds will be made.
Total Amount Due
$___________
********************** EVENT TICKETS**********************
Opening Buffet, Monday, October 13th
________ Member
$
N/C
________ Guest(s)_______@ $30.00
$
Candlelight Dinner Playhouse, Wednesday, October 15th
________ Member
$
N/C
________
Guest(s)_______ @ $40.00
$
Public Trustee Lunch, Thursday, October 16th
________ Member
$
N/C
________ Guest(s)_______ @ $15.00
(lunch only)
$
(Do not pay for lunch
if attending the P.T. meetings, the $30 registration fee includes lunch)
Closing Banquet, Thursday, October 16th
________ Member
$
N/C
________ Guest(s)________@ $40.00
$____________
Breakfast Buffet, Friday, October 17th
________ Member
$
N/C
________ Guest(s)________@ $15.00
$
Total Amount Due: $
Please make checks payable to: