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PLEASE
PRINT
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Name___________________________________________________________________
Address_________________________________________________________________
City,
State, Zip ______________________________________________________________
Phone
___________________________________E-mail _________________________
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Name
tag information for yourself and family:
Name: Club
or Business Name City
and State
_________________________________|________________________|_____________________
_________________________________|________________________|_____________________
_________________________________|________________________|_____________________
_________________________________|________________________|_____________________
_________________________________|________________________|_____________________
_________________________________________________________________________________
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Class
Registration Class
Fees will be paid directly to the Instructor at Class time
Student
name Class
# Instructor Second
Choice
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Registration Fee (instructors exempt)
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$15.00 / Family |
$15.00 |
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Banquet Tickets
Friday July 16th, 2010, 7:00 pm
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___________
@ |
$10.00
/ person |
_________ |
Early
Registration makes you eligible for an entry into
our Dail Drawing for a $15 Gift Certificate. Check
the Registration Desk daily to see if you are a Winner! |
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Total
Enclosed
Make
checks payable to: CWRC
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Early
Registrations
Ends May 15, 2010
Registration Deadline: June 30, 2010
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Please
mail to :
CWRC Secretary, Karen Oquin
13902 West 78th Place
Arvada, CO 80005 |
For
Director Use:
| recvd |
$ |
ck# |
recpt# |
draw
tix |
banq
tix |
class/dir |
to
treas |
vend
pac |
tags |
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