2011 Partners registration form by hY7s1p0X

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									                                April 20th, 2011 Partners Workshop
                         Conserving Colorado’s Working Forest Landscapes
                                       REGISTRATION FORM
Name:

Business Name:

Mailing Address:


E-mail Address:

Telephone Number:

If you have attended in the past has any of your info changed? If not, don't worry about filling in all the
information below.
General services provided:




Years in business:

Have you received the Colorado State Industry and Service Provider survey? If not, would you like to?

Please respond below:

_____ Yes, I will attend the April 20th Partners Workshop

_____ Yes, I will be bringing a display about my business:
Approximate size: _______________________

_____ I will be having the catered lunch for a $10.00 charge (cash or check accepted)

_____ No, I cannot attend, but would appreciate future information

_____ I am no longer in business, please remove me from your list

*Please affix postage and mail form back to:
Misha McCulloch
5060 Campus Delivery
Colorado State University
Fort Collins, CO 80523-5060

*Fax to: 970.491.7736 ATT: Misha McCulloch

*Or email to msmccull@gmail.com Subject: Partners Workshop Registration 2011

**For additional information and questions call 970.491.6303.

								
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