Registration Form: SOS February 22-24, 2006

Print this - REGISTRATION... Sustainable Opportunities Summit
Millennium Hotel, Boulder, CO — February 22 - 24, 2006
PRINT and Complete this Registration Form.

MAIL along with payment to:CORE - Attention: Bud McGrath, 1625 Broadway, Suite 950, Denver, Colorado 80202
PHONE Call 303.592.4066 - (FAX Credit Card Reg: CORE: Attention: Bud McGrath - FAX: 303.592.4061

Registration Information Please Complete Credit Card Billing Address if different

Name		Name
Company		Company
Title		Street Address
Street Address
City		City
State	Zip	State	Zip

Phone: ____________________ FAX:__________________ Email: ___________________________________

Name on Badge:_________________________________________________________________________________
_________________________________________________________________________________

CORE Member: YES NO

Registration Fees (circle):	CORE Member	Non-Member	Full-time Student
Conference Fee:	$235.	$259.	$140.
Optional EcoCycle Tour (Note 1):	$ 20.	$ 20.	$ 20.

NOTES: See EcoCycle Tour for Details

Your registration fee includes $10. which will be used to purchase about 500 kWh of Colorado Wind energy 1,007 pounds of CO2, equivalent to NOT driving 870 miles per year or planting 68 trees.

Check or Money Order Enclosed for (Amount): $

Charge My Credit Card:

MC VISA AMEX

Card No.

Expiration Date:____________
Security Code: (3 to 4 digit code Found to the right of the number, back of card.)

Cardholder

(Please Print Name) _________________________________________________

Signature

_________________________________________________

006 Cancellations & Substitutions : Requests for cancellation and refunds received before February 20, 2006 will be honored and a full refund given. No refunds will be offered on or after February 20, 2006 and no refunds will be offered for no-shows. If you find you cannot attend after paying your registration fee, you may wish to send a colleague in your place: contact CORE at: (303) 592-4066.