THE BRITISH INSTITUTE 10-16 OCTOBER 2004 REGISTRATION FORM

THE BRITISH INSTITUTE

10-16 OCTOBER 2004

REGISTRATION FORM

 

  NAME______________________________________________

 

  ADDRESS___________________________________________

 

  CITY___________________STATE______ZIP CODE _______

 

  Home telephone #    ______________________

   Work/cell telephone #______________________ 

  Fax #____________________E-mail ______________________

 

  I am an alumnus from ____2001 ____2002 ____2003

   COURSE SELECTION: 

    1st Choice ________________________________

 

    2nd Choice ________________________________

 

    3rd Choice ________________________________

   TUITION FEES: 

    Tuition

(member)             

   

            $345

_______

 

    Tuition (non-member)     

    

            $370

_______

    (tuition fees include banquet

     and refreshments during class breaks)

 

    Additional banquet tickets    

            $ 30

_______

 

    Late registration

Fee         

              

$ 50 _______

    (postmarked after 1 Aug. 2004) 

   TOTAL

ENCLOSED                  

_______

 

   Please print out this form and return it with your check in

U.S. dollars to:

The British Institute

PO Box 350459

Westminster, CO 80035-0459

 

  Cancellations before 1 August 2004 will result in a $50.00 service

fee.

  No refunds will be made after 1 August 2004.