Consumer Issues Conference Registration
March 25, 2003
University of Wyoming Campus, Laramie - Wyoming Student Union

This is not a secure Internet registration page. 

Please type in your registration information, print out the form, and mail or fax to the UW Conferences Office.

    Mail to: Consumer Issues, UW Conferences Office, PO Box 3972, Laramie, WY 82071

    Fax to: Attn: Tom, (307) 766-3914

Please Note: Registration will not be processed until payment is received. Registration is free for senior citizens (60 or over) and students w/valid ID. Registration is required, one person per form.

PERSONAL INFORMATION
First Name: Last Name:
Title: Affiliation:
Address:
City: State: Zip:
Daytime Phone: Fax:
Please indicate if you are a senior citizen or a student .
If you are a UW employee, please list your department:
The University of Wyoming is committed to making this conference accessible to all individuals. If you have a disability and require accommodations to participate in this activity, please check here . If you require special dietary needs, check here . You will be contacted by someone from the UW Office of Conferences & Institutes.

CONFERENCE REGISTRATION FEES - Includes lunch & reception:
Registration on or before March 10, 2003: $35.00
Registration after March 10, 2003 $45.00
Reception:
Please note: Although Sr. Citizens (60 or over) & students w/valid ID are invited to attend the conference free, there is a nominal fee for lunch.
Lunch (Student or Sr. Citizen) $5.00
Lunch (Student or Sr. Citizen) after March 10, 2003 $7.00
(no lunch reservations accepted after March 14) TOTAL$

PAYMENT INFORMATION:

We accept VISA/MC/AMEX:
Credit Card Number: Exp. Date:

Cancellations: cancellations received in writing on or before 3/14/03 will receive a full refund. After 3/14/03, a $10 cancellation fee will be assessed. Cancellations must be received in writing. No refunds for no-shows.