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VCGS Seminar 2012
Registration Form

If registering by mail -- please print and
complete this form, then mail it with check
payable to VCGS before October 1, 2012, to;
Seminar Chairman
Attn: Gwenda Tucker
201 W. Vineyard Ave., #147
Oxnard, CA 93036

If registering using PayPal -- use the PayPal
link below to complete payment, then
e-mail the information requested on
the registration form to;
[email protected]
 
 
(please indicate the number of registrations in the box to the left of each type)
#
Registration Type / Fee (includes lunch and syllabus)
    * CVGS and SBCGS members' fees are the same as VCGS members
 
    VCGS / CVGS / SBCGS Member(s)* @ $35.00 ea (received before October 1st)
    VCGS / CVGS / SBCGS Member(s)* @ $40.00 ea (received on or after October 1st)
 
   Non-Member(s) @ $45.00 ea

Registration Options

REGISTRATION FORM

Name: ___________________________________________

Address: __________________________________________

City: _____________________   State: ____   Zip: __________

Home Phone: (____) _______________

E-Mail Address: _____________________________________

Comments: ________________________________________

________________________________________________

________________________________________________

Questions?  Contact Gwenda Tucker at e-mail; "[email protected]"