2008 ECONOMIC SUMMIT
REGISTRATION FORM

Please fill in the following form and be sure to click "SUBMIT" when you are finished. 

Registration closes on October 20th.  If you would like to register after this date, please call Karen at 387-5101.

Click here for Mail in Registration Option.  Must be received by San Juan 2000 by October 20th.

First Name
Last Name
Organization
Street Address
City
State
Zip
Work Phone
Home Phone
E-mail
Sign me up for: Micro-Business Tours (no cost)

Networking Dinner ($15)

Opening Reception and Keynote

Panel Discussions ($30 for individual)
Registration Fee: I will send my Registration Fee by  
     PayPal to karen@sanjuan2000.org
     (Click here to pay now)

I am affiliated with a sponsor and
     therefore do not need to pay the fee.

I am a Speaker or Panelist
     therefore do not need to pay the fee.

I am sending a check by mail to:
     San Juan 2000 Dev. Assoc.
     P.O. Box 722
     Silverton, CO 81433
I need: I need assistance with my registration
     or attendance details.  Please call me.