Scribd
Upload
16 views1 page

Registration Form

Uploaded by

Brooke Koenig
The Colorado PTA Legislation Conference will take place on March 3, 2014 at the State Capitol. This year's conference is designed for adults and high school juniors and seniors. Attendees will learn about the 106 years of advocacy work done by the Colorado PTA. The conference includes continental breakfast and lunch. Registration costs $35 per member until January 31, 2014 and $45 per non-member, increasing to $65 and $75 respectively after that date. Attendees should complete the registration form and return it with payment to the Colorado PTA office.

Copyright:

Attribution Non-Commercial (BY-NC)
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
16 views1 page

Registration Form

Uploaded by

Brooke Koenig
The Colorado PTA Legislation Conference will take place on March 3, 2014 at the State Capitol. This year's conference is designed for adults and high school juniors and seniors. Attendees will learn about the 106 years of advocacy work done by the Colorado PTA. The conference includes continental breakfast and lunch. Registration costs $35 per member until January 31, 2014 and $45 per non-member, increasing to $65 and $75 respectively after that date. Attendees should complete the registration form and return it with payment to the Colorado PTA office.

Copyright:

Attribution Non-Commercial (BY-NC)
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
Download as pdf or txt
You are on page 1/ 1

Colorado PTA Legislation Conference

The Face of a Hero


Monday, March 3, 2014 at the State Capitol
106 Years of Advocacy in Colorado
First Name:___________________________________ Last Name:__________________________________
E-mail:_____________________________________
Home Address (Street, City, Zip Code):_______________________________________________________
Phone (day) (evening):_____________________________________________________________________
Senate District/Senator House District/Representative:____________________________________________
This years conference is designed for adults and high school juniors and seniors. Therefore, we
respectfully request that no other students attend.
I am a member of (name of PTA unit):________________________________________________________
(If student) I attend High School Junior Senior:_________________________________________________
Please circle:
I am paying byCheck Credit Card
Credit Card Account #:____________________________________________________________________
Billing Zip Code :___________

Exp. Date:__________

Security Code:__________

Name on Credit Card:_____________________________________________________________________


Signature:_______________________________________________________________________________
Continental breakfast and lunch are included. Further details will be provided with the confirmation of
registration.
$35 per Member until January 31, 2014 $65 per Member after that date
$45 per Non-Member until January 31, 2014 $75 per Non-Member after that date
Please return this form with payment to:
Colorado PTA, 7859 W. 38th Ave., Wheat Ridge, CO 80033 or fax (credit card payments only) to
(303) 420-7703. Questions: contact the Colorado PTA office (303) 420-7820 or toll free (888) 225-8234

You might also like