July 9-13 in Kansas City, Missouri
Fill in this form online, or print out this page and send it along with your payment to the Council of Georgist Organizations, P.O. Box 57, Evanston, IL 60204, USA.
Please read this entire page carefully.
Please enroll me as follows:
CONFERENCE OPTIONS |
STANDARD ATTENDEE RATES:A la Carte Options:
SPOUSE, CHILD AND FIRST-TIME RATES:A la Carte Options:
CGO membership -- Affiliate (non-voting): $25 CGO membership -- Organizational: $50 6 foot exhibit table: $50 Half exhibit table: $30 Conference packet insert: $25 Extra Donation: Grand Total:
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Your Name: Address:
City:
State/Province:
Telephone (home):
Method of payment (US Funds only):
Card #
Expiration mm/yy
CSC number (on back, above signature line, 3 digits)
Total amount I am paying:
And in case of emergency, please tell us who to contact: Please do not include my address on the participant list. Please contact me about sharing a hotel room.
Dietary:
Additional comments, questions, requests:
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Ready? Press the grey button below to complete your registration.
One form per person please.