Registration Form July 14-17, 2008 Orlando, FL     Name: _________________________________________________________ Date:_______________________ Address:____________________________________________________________________________________ City:  ___________________________________________   State:_________________    ZIP: ______________ Phone (Day): ( _____ )______________________   Phone (Evening): ( _____ ) _________________________ E-Mail Address: _____________________________________ @ _____________________________________ (Check One)    [_] Paying by Check (Make payable to CLASS)         [_] Please Charge my Credit Card Card Type: ________________________       Card # ________________________________________________ Exp. Date: _________________  3-Digit Security Code (back of card): _________________ (4 #'s on AMEX) Name on Card: _____________________________________________________________________________ Signature: __________________________________________________________________________________ If you prefer, credit card registrations may be placed by phone at (800) 433-6633 or by FAX at (505) 899-9282. Publishing Connections Conference Registration (Limited to first 80 registrants; open to CLASS graduates only): $375 This includes 8 hours of workshop training, personal mentor coaching from a professional writer, access to the ICRS floor and the CLASS Welcome Reception on Monday evening Seminar subject to cancellation 30 days in advance. Cancellation Policy: You will receive a refund less a $100 nonrefundable deposit if we receive cancellation notice at least one business day prior to the start of the seminar. Please print this registration form, then mail completed form and check or money order to: CLASServices Inc. 2201 San Pedro NE Building 1 Suite 225 Albuquerque, NM 87110 or FAX credit-card registrations to (505) 899-9282   CLASServices, Inc. Copyright 2001

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