16th Annual RMIMA Conference
March 16, 2000 at the Inverness Hotel in Englewood, Colorado

Registration Form

 Name
Title
Company
Address
City
State
Zip
Phone
Fax
E-mail
RMIMA member yes  
Registration Fee $
Before February 1st: $175 Members, $195 Non-Members, Students $49
 After February 1st:    $195 Members, $215 Non-Members, Students   $49

Credit Card Charge Authorization
Type of card Visa  MasterCard    American Express
Name on card
Credit card number
Expire
Amount to bill

If you are comfortable sending your credit card number through e-mail, please press the submit button
If you prefer to send credit card through paper mail, please print this form and sign it:
Signature_____________________  Date______

To pay by check, please print this and send it with your check to:
RMIMA c/o Colorado Event Company
6756 East Millstone Street
Highlands Ranch, CO 80126
303-805-0789
FAX 303-470-6879

www.coloradoevent.com

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