Laserfiche WebLink
103rd NATI(yiiAL WESTERN MIN'Li-4G CONFERENCE <br /> ADVANCE REGISTRATION FORM <br /> Mining Industry Survival Guide for the 21st Century <br /> Proudly Sponsored by <br /> The Colorado Mining Association <br /> NOVEMBER 1 - 4, 2000 <br /> BROADMOOR HOTEL - 5 STAR RESORT <br /> 1 Lake Avenue - Colorado Springs, CO 80901 <br /> PLEASE TYPE OR PRINT <br /> NAME- TITLE _. <br /> NAME AS IT SHOULD APPEAR ON BADGE <br /> COMPANY PHONE FAX <br /> MAILING ADDRESS EMAIL. <br /> CITY, STATE,ZIP <br /> SPOUSE REGISTRATION(NO FEE) <br /> (Nome as a,{weld appear on imdge) <br /> ......................•.......................................................................I................... <br /> REGISTRATION FEES <br /> PAYMENT INFORMATION <br /> General Advance Registration by 10/20✓00 <br /> Curie,i:PAID 20001ndividual or Official Representative Payment must accompany this form in order to process your registra- <br /> of Sustaining Member...............................$150.00 $ lion. You may pay by check or credit card. Checks must be made <br /> Non-& Unrenewcd-Members........................... $220.00 $ payable to COLORADO MINING ASSOCIATION. CMA wiu not <br /> On Site Registration Current Paid Members..................$250 00 $ invoice your company for registration. <br /> On Site Non-&Uarenewed-Members.......................... $325.00 $ <br /> General Advance Registration(Over 65 years old)......Free Enclosed is Check# in the amount of$ <br /> Spouse Registration...................................................... Free (U.S.Dollars) payable to the"Colorado Mining Association" <br /> Students..........................................................................Free Charge my credit card for the total: <br /> Visa_ Discover_ MasterCard_ AmEx_ <br /> Events: Please check the events you will attend! Amount$ <br /> Pre-registration required for ALL events. <br /> Card Number <br /> Wednesday 8 AM-Noon Short Course-Ethics, Expiration Date <br /> Health&Safety and Human Resources...................$150pp $ <br /> with paid NWMC Registration.................................$1OOpp $ Signature <br /> Wednesday 11 AM-4 PM Cresson Mine Tour-Victor,CO Send Payment to: Colorado Mining Association <br /> (Limit 50 persons)....................................................Free 216 16th Street, Suite 1250 <br /> Thursday Noon-2 PM Safety Awards Luncheon.............$40.O0pp $ Denver, CO 80202 <br /> te1: 303/575-9199 fax: 3031575-9194 <br /> Thursday 5:30-7:30 PM St.Barbara's Day and <br /> Welcoming Reception(with conference registration).Free All sessions will be held at the Broadmoor Hotel.Room rates are$165.00 <br /> St.Barbara's Day only(no conference registration)....$50.00pp $ for a single or double room,plus an amenities charge of$14.00(add$2 50 <br /> Friday N000-2 PM Reclamation Awards Luncheon.....$40.00pp $ each additional/person). When making reservations, identify yourself as <br /> Friday 6:00-7 Miner's Parry..........................................$I00.00pp$ attending the CMAINational Western Mining Conference. Make your <br /> Saturday Golf Tournament(lint 72 player).................$175.00pp$ reservation by September 29,2000. RESERVATION NUMBER IS 800- <br /> 634-7711. Last year,our room block was sold out very early,so make your <br /> Please indicate shirt size S M L ?u phone call now to be able to save money on our reduced rate. <br /> Total$ <br /> Registrants can claim their badges at the registration desk at the <br /> My handicap is Broadmoor Hotel. All advance registrations are subject to a $40.00 can- <br /> . cellatioa fee if written request is received by no later than October 1.2000. <br /> I will golf with 1 <br /> No refunds will be issued after that date. �� <br /> THANK YOU AND WE LOOK FORWARD TO A <br /> 3. GREAT CONFERENCE <br /> OT0/200'd t76TG SLS 202:01 2621-t7L9-202 SOIHc dU 10 9NISIS-WONA GO:60 0002-GT-7f <br />