• Enter your nickname.

  Nickname for Name Tag:

• Enter your full name.

  Name:

• Enter your title.

  Title

• Enter your organization's name.

  Organization

• Enter your address information.

  Address
  Street Address
  Address Line 2
  City
  State / Province / Region
  Postal / Zip Code

• Enter your phone number.

  Phone - (###) - ### ####

• Enter your email address.

  Email Address

• If you have any special dietary requirements, please enter them here.

  Special Dietary Needs:

• Please select a registration type for the symposium (select one only).

  Registration Options (please choose only one): OPTION 1, $55: I am a 2008 CPRA member. OPTION 2, $80: I am not a 2008 CPRA member. I want to take advantage of this opportunity to attend the Symposium and join CPRA for the remainder of 2008. Includes 2008 membership dues and symposium registration fee. (BEST VALUE FOR NEW MEMBERS.) OPTION 3, $90:  I am not a 2008 CPRA member. I am registering for the symposium only.

Registration Deadline: Monday, April 28^th, 2008

To register, please print a copy of your completed registration form and return it with your check made payable to CPRA. Send registration and payment to:

CPRA

P.O. Box 11621
Denver, CO 80211-0621

For additional registration information contact:

Patty Smith
CPRA Program Director
303-273-3164
patricia.smith@is.mines.edu

Erin Osborn
CPRA President
720-777-1733
eosborn@tchfden.org