PAYMENT MUST ACCOMPANY REGISTRATION FORM.
Use Your Browser to print this form and FAX or MAIL TO the
National Headquarters:
Club Managers Association of America, c/o First Union Lockbox, P.O. Box 85080,
Richmond, VA 23285-4171,
Attn: Wine Workshop Registration.
| CMAA
Member #: |
CCM |
| MCM | |
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Member
Status:
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Wine
Society Member:
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Yes |
| No | |
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Name:
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Club
Name:
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| Address: | |
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Daytime
Phone:
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Evening
Phone:
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Spouse/Guest
Name:
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Nickname
for Badge:
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| Position at club: | |
| City/State/Zip: | |
| FAX Number: | |
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E-mail:
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July
8-11, 2001
Deposit with Registration: $200 per person
Balance Due: March 1, 2001
Limited
to 40 participants
| Registration Categories | Wine Workshop Fees | Total | ||||
| (Member/Spouse) Before March 1, 2001 | $695 | |||||
| (Member/Spouse) After March 1, 2001 | $725 | |||||
| Non-member Registration (Before March 1, 2001) | $750 | |||||
| Non-member Registration (After March 1, 2001) | $780 | |||||
| Single Supplement | $210 | |||||
| Total | ||||||
| METHOD
OF PAYMENT: Check (payable to CMAA) Check # |
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| Credit Card: | American Express | |
| VISA | ||
| MasterCard | ||
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Card
Number:
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Exp. Date: ______/_______ | |
| Signature: | Amount to be Charged: | $ |
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MAIL
Credit Card and
Check Payments to: Club Managers Association of America c/o First Union Lockbox P. O. Box 85080 Richmond, VA 23285-4171 |
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