LP03 Registration

The Colorado Freedom Report:  A libertarian journal of politics and culture.

The Colorado Freedom Report--www.FreeColorado.com

LP03 Registration

Libertarian Party of Colorado Convention 2003
Registration Form

Please print out this form and send with payment, payable to "Carol Geltemeyer," to
Nancy Graves
3724 E. LaSalle St. #1310
Colorado Springs, CO 80909

Nancy may be reached 719.570.0747, or 719.310.9444, or by e-mail at lpco2003@pcisys.net.

____Full Convention (Option #1): $129
____Full Convention, except banquet (Option #2): $99
____Banquet Only (Option #3): $49
____Full-Time Student: $49

Payment form: Check____ Money Order____
Visa____ Master Card____ Acct. #___________________ Exp._____
Signature (for credit card): ____________________________

Name(s) _____________________________
Address ___________________________________
City __________ State ____ Zip __________
Phone ______________ E-mail ___________________

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