Colorado Archaeology Society -- Annual Meeting -- 75th Anniversary
October 1-3, 2010 -- Gunnison
REGISTRATION FORM

Please print 􀍴 please give name as you would like it on your name tag

 

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Last Name                                                                                                                First Name

 

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Last Name                                                                                                                First Name

 

_____________________________________________________________________________________________________

Mailing Address

 

_____________________________________________________________________________________________________

Daytime Phone                                   Evening Phone                                             E-mail Address

 

 

REGISTRATION FEE includes speaker and poster sessions, coffee/tea all day Saturday, plus morning and afternoon snacks.

 

BANQUET is a buffet, with two entrees: roasted pork and dressing, and portabella ravioli. Other dishes include roasted red potatoes, green beans almandine, and two salads. Desserts are peach cobbler with ice cream, and chocolate mousse. Bread/rolls and beverages are included.

 

Member

Student w/ID

Non-Member

Banquet*

 $ 15 x ______ person(s) =

 $   5 x ______ person(s) =

 $ 16 x ______ person(s) =

 $ 27 x ______ person(s) =

 = $ _________

 = $ _________

 = $ _________

 = $ _________

 

TOTAL ENCLOSED

    $ _________

                                                     * Banquet Speaker Presentation without meal is free.

 

Do you plan to go on the FIELD TRIP?     Yes   No           Do you have a HIGH CLEARANCE VEHICLE?    Yes   No

If Yes, will you take passengers?     How many? _________               If No, would you like a ride? _______

 

Please send form/address questions to:

LORA VanRENSELAAR   271 Park Dr, Gunnison, CO  81230
970.641.6069   970.275.078                    lora1@roadrunner.com