(*required fields)
Name of Speaker: Norm Miller
Your Name*:
Phone:
E-mail*:
Names of Guest(s):
How did you hear about this event?

Please choose the manner in which you will pay*:

Check (by mail)

Make checks payable to CBMC and send to:

CBMC
c/o Steve Snyder

6832 S. Downing Circle East
Littleton, CO 80122

Payment at the door

I understand that this option guarantees my payment unless I cancel 24 hours in advance

Credit card online

You will be given an opportunity to pay online after hitting the "Submit" button.

Please note, reservation must be canceled if not able to attend, even if it is at the last moment.



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