Printable Registration Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=175 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="1b460603.gif"> <div> <B><IMG SRC="2de1f680.png" border=0 width="287" height="104" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">   </B><FONT SIZE="4" COLOR="#111111" FACE="Arial" ><B> </B><B> <IMG SRC="11532310.gif" border=0 width="50" height="49" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">  </B></FONT><FONT SIZE="2" COLOR="#111111" FACE="Arial" ><A HREF="index.htm" TARGET="_top" TITLE="Midwest Astrology Conference"><U><B>home</B></U></A><B>  </B></FONT><FONT SIZE="4" COLOR="#111111" FACE="Arial" ><B>   </B></FONT><A HREF="index.htm" TARGET="_top" TITLE="Midwest Astrology Conference"><U><B>Midwest Astrology Conference</B></U></A><B>   |   </B><A HREF="id49.htm" TARGET="_top" TITLE="Who We Are"><U><B>Who We Are</B></U></A><B>   |   </B><A HREF="id20.htm" TARGET="_top" TITLE="Conference Schedule"><U><B>Conference Schedule</B></U></A><B>   |   </B><A HREF="id21.htm" TARGET="_top" TITLE="Prices OnLine Registration"><U><B>Prices & On-Line Registration</B></U></A><B>   |   </B><A HREF="id22.htm" TARGET="_top" TITLE="Vendors Readers"><U><B>Vendors & Readers</B></U></A><B>   |   </B><A HREF="id23.htm" TARGET="_top" TITLE="Banquet Luncheon Menus "><U><B>Banquet & Luncheon Menus </B></U></A><B>   |   </B><A HREF="id24.htm" TARGET="_top" TITLE="Hotel Information"><U><B>Hotel Information</B></U></A><B>   |   </B><B>Printable Registration Form  </B><B>   |   </B><A HREF="id26.htm" TARGET="_top" TITLE="Related Links"><U><B>Related Links</B></U></A><B>   |   </B><A HREF="id18.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A><B>   |   </B><A HREF="id50.htm" TARGET="_top" TITLE="Pictures from Past Years"><U><B>Pictures from Past Years</B></U></A></div> <div> <B> </B></div> </td> </tr><tr> <td valign="top" width=250 BGCOLOR="#FFFBF0" TEXT="#080000"> <div> <B> </B></div> <div> <B>CONTACT US:</B></div> <div> <B>macastrology@yahoo.com</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>1547 Bain Dr</B></div> <div> <B>Erie, CO 80516</B></div> <bR> <div> <B>Louise McCombs</B></div> <div> <B>303-828-5445</B></div> <div> <B>fax:303-828-0726 </B></div> <div> <A HREF="mailto:macastrology@yahoo.com" TARGET="_top" TITLE="mailto:macastrology@yahoo.com"><U><B>macastrology@yahoo.com</B></U></A></div> <bR> <div> <B>Sandra Leigh Serio</B></div> <div> <B>  303-604-2777</B></div> <div> <A HREF="mailto:sandraleigh@sandraleigh.com" TARGET="_top" TITLE="mailto:sandraleigh@sandraleigh.com"><U><B>sandraleigh@sandraleigh.com</B></U></A></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> <B> </B></div> <DIV ALIGN="LEFT"></DIV> <div> <B>DOWNLOAD OUR BROCHURE</B></div> <div> <B>for your copy right click on the icon</B></div> <div> <B><IMG SRC="0f792600.png" border=0 width="146" height="96" ALT="Adobe Acrobat Document" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> </td> <td valign="top" height=305 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="12032323.gif"> <div> <I>Printable Registration Form  </I></div> <DIV ALIGN="LEFT"></DIV> <div> <B><U>Highlight page and right click to print</U></B></div> <div> <B><U>Midwest Astrology Conference Registration Form</U></B></div> <div> <B>Name _____________________________________________</B></div> <div> <B>Address ___________________________________________</B></div> <div> <B>__________________________________________________</B></div> <div> <B>Phone _____________________________________________</B></div> <div> <B>Email ______________________________________________</B></div> <div> <B>Total Amount Due ____________________________________</B></div> <div> <B>     </B><FONT SIZE="3" COLOR="#000000" FACE="Wingdings" ><B>o</B></FONT><B> Check              </B><FONT SIZE="3" COLOR="#000000" FACE="Wingdings" ><B>o</B></FONT><B>  Visa                     </B><FONT SIZE="3" COLOR="#000000" FACE="Wingdings" ><B>o</B></FONT><B>  MasterCard</B></div> <div> <B>Credit Card Number _________________________________</B></div> <div> <B>Expiration Date: ____________________________________</B></div> <DIV ALIGN="LEFT"></DIV> <div> <I> </I></div> <div> <B>Please check what you will attend:</B></div> <bR> <div> ____ Full conference (includes lectures and banquet) </div> <div>  $195 Before March 15th,   $225 after March 15th.                                   </div> <div>                       ( Luncheon lecture event extra.) </div> <div>  </div> <div> Chicken   _______ Fish _______ Penne Pasta _______</div> <bR> <div> ___ Weekend package (lectures only)   (No Banquet) </div> <div>          $ 175 before March 15th, $ 205 After March 15th. </div> <bR> <div> ___ Luncheon Lecture - Saturday -    12 PM  $ 30.00</div> <div> ___ Luncheon Lecture - Sunday -    12 PM  $ 30.00</div> <div> <B>Conference single prices</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <div> ___ One day, lectures only $90.00</div> <div> ____Single lecture ($30.00) 1-1/2 HRS Astrology Lecture</div> <div> ____Single Lectures($15.00)  45 minute Metaphysical Lecture</div> <div> ___ Banquet only ($40.00) (<I>Please check meal choice above.</I>)<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>To register for the hotel, please contact   </B></div> <bR> </td> </tr></table></body>