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Preregister by Sept 30

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Register for WCC's 31st Annual Meeting

Fill out this form and mail it with your preferred method of payment (check made payable to WCC or credit card) to: Western Colorado Congress, PO Box 1931, Grand Junction, CO 81502. Or call (970) 256-7650 to register using your credit card.

Name
Address Line 1
Address Line 2
City
State
Zipcode
Home Phone
Email

Registration

Regular registration [$15] includes admission to all parts of the event. Students may attend Lee Stetson's performance for a discounted rate of $5.

Qty
 
Amount
 
REGISTRATION
 
@$5 (student; Stetson only)=
@ $15 (members) =
 
TOTAL =

You can use Google Checkout to pay with a credit card OR mail in this form with your credit card information filled in below.

Amount
Credit Card Type
Credit Card Number
Expiration Date
Signature

 

 

 

 

Western Colorado Congress is an alliance for community action empowering people
to protect and enhance their quality of life in western Colorado.

PO Box 1931, Grand Junction, CO 81502; phone (970) 256-7650; fax (970) 245-0686