LWVCO Legislative Conference

Deadline Friday, January 13, 2012

Print and complete this registration form and fax it to the League office with your credit card information or mail the form to the League office with your check.

LWVCO fax number: 303.837.9917

LWVCO mailing address:
LWV of Colorado
1410 Grant St STE B204
Denver CO 80203-1855

Registration Fee $25.00 (No refunds after January 13, 2012)

Box Lunch: All sandwiches come with fruit, dessert, bottled water, tea or coffee. Choose your sandwich by circling the number on the registration form.

(1) Classic Chicken Salad Sandwich
seared chicken breast, gouda cheese and peppery arugula with Udi's aiolli on rosemary foccacia bread
(2) Roasted Salmon
roasted herb-glazed salmon and peppery arugula with lemon caper tarter sauce
(3) Veggie Wrap
provolone, cheddar, cream cheese, roasted bell pepper, crisp cucumber, and more, in a whole wheat tortilla

Name

Lunch Choice 1 2 3

Name of League

Pay by check (made payable to LWVCO) Visa MasterCard

Amount: $

Card # Exp. date

Signature

If you wish to receive an email confirming your registration, please include your

Email Address
(please print)