Workshop Registration Form
Barbara Simmons
February 2, 3, 4 & 5th, 2009
Webster University North Orlando Campus, Sanlando Center, Altamonte Springs
Fee: $250 for CFWS members, $290 for non-members
□ I am a member of CFWS. I enclose $125. I will pay the remaining $125 by January 26, 2009.
□ I am not a member of CFWS, but I would like to join and pay the member workshop fee. Enclosed is $30 for 2008-2009 dues, and $125 for the workshop registration fee. I will pay the remaining $125 by January 26, 2009.
□ I am not a member of CFWS. Enclosed is the $145 registration fee. I will pay the remaining $145 by January 26, 2009.
□ I have already registered for this workshop. Enclosed is the remainder of my workshop fee, due by January 26, 2009 ($145 for non-members, $125 for members).
□ I have already registered for this workshop. I am not able to attend. I am making this request before January 2, 2009. Please refund my registration fee. I understand that the registration fee is not refundable after January 2, 2009.
Name ________________________________________________________________
Address _______________________________________________________________
_______________________________________________________________________
Email Address _____________________________ Phone: ______________________
Please print and fill out this form and mail with your check to: Mary Bowman, 13421 Fountainbleau Dr.,
Clermont, FL 34711-5958