Rocky Mountain Mineral Law Foundation
9191 Sheridan Blvd., Suite 203, Westminster, CO 80031, USA
(303) 321-8100 voice    (303) 321-7657 fax
         
Registration for theOil and Gas Law Short Course (SCB08)
Houston, Texas
October 20-24, 2008
*Means a required field

   (we don't keep credit card data on file in either case)
First Name*
Middle Initial
Last Name*
Badge Name
Employer
Mailing Address*
Telephone*
Fax
E-Mail*
Occupation (please check all that apply)
    
     (please specify)
CLE credit requested for the following states
      
Other credit requested from
*Please check the appropriate registration fee. If you check an incorrect box, you will be charged the correct fee and you will receive notification of the discrepancy.
Registration Fee
Please pay in U.S. Dollars
 Registrations & Payment Received
thru 9/22/08
Registrations & Payment Received
after 9/22/08
Non-Member $985.00 $1,085.00
RMMLF Member $785.00 $885.00
IEL/CAIL Member $785.00 $885.00
EMLF Member $785.00 $885.00
Govt Agency/Non-Profit Org $495.00 $595.00
Either * Payment by Credit/Debit Card

VISA MasterCard American Express

Card Number Expires

Name on Card
or * Payment by Electronic Transfer
Please request wiring instructions in the "Comments" field below.
Comments
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