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.