MARBLE/marble XXII
Registration Form 2010
(Please print out this form, fill it in and mail it to the address below)
Note: Enrollment in each session is limited. Please register early to assure your participation. Please sign me up for

First Session (July 2 - 9)
Second Session (July 15 - 22)
Third Session (July 29 - August 5)

Name: _________________________________________

Address: ________________________________________

City: ___________________________________________

State: _____________________________ Zip: __________

Email: _____________________________________

Home Phone ( _________ ) __________________________

Business Phone: ( _________ ) ________________________

Advanced registration is suggested in order to assure a space as sessions tend to fill quickly.  The cost for one session is $900.  For advanced registration $475 is due with registration and the balance of $425 is due June 1, 2010.  Registration for any given session is acceptable on the first day of the session provided there is space available and payment is made in full by check or credit card.  Keep in mind that symposium registration is available throughout the year for upcoming sessions.   Refunds are subject to a $50 cancellation fee and will be made only if your position can be filled.  Visa and MasterCard accepted.

 

 

Visa and MasterCard accepted.

Amount Enclosed: $ ________
 Visa  MasterCard

Card # __|__|__|__|-__|__|__|__|-__|__|__|__|-__|__|__|__| Exp. Date:  

Please print Cardholder's Name:
______________________________________________

Signature: _______________________________________

Make checks payable to Marble/marble Symposium. Send registration form to:

MARBLE/marble Symposium
PO Box 481743 • Denver, CO 80248-1743
Phone 303-297-1429 Fax 303-627-9320
 E mail