Suggestion: Keep a copy of this sign-up sheet for yourself too!

 
 PLEASE COMPLETE THESE PAGES BY:
FRIDAY, DECEMBER 16, 2011

PLEASE SEND ONE CHECK WITH ANY DINNER, LUNCH,
GUEST AND/OR FIELD TRIP CHARGES.
THANK YOU.


COST REMINDER

LUNCH $20
DINNER $45
GUEST FEE: $15*

*YOU DO NOT HAVE TO PAY A GUEST FEE IF YOUR GUEST STAYS FOR LUNCH OR DINNER

Please mark YES or NO if you would like to attend the program, lunches, dinners and field trips.  It is very helpful for us to plan for the possible number of attendees, so we can give the  correct information to the Denver Country Club and more, importantly, so we know how many members plan to attend and if we will have room for guests. Thank you for your help.


NAME:       

ADDRESS:

CITY, STATE, ZIP CODE:
 
PHONE NUMBER :

E-MAIL ADDRESS:


Yes / No I will attendFriday, January 6, 2012 - Morning Program - Doug Price CEO Rocky Mtn. PBS: Public Media: Civic Fortress in a Hyper-Partisan World.

Yes / No I will stay for lunch - $20.00


Guest Name, $15 per person:


Yes / No I/we will attend Wednesday, January 11, 2012 Field Trip-Denver Art Museum with Nancy Blomberg: Native American Art.

21COST $15.00

NO GUESTS FOR THIS PROGRAM


Yes / No I will attend Friday, January 13, 2012 - Morning Program - Dr. Sam Wagonfeld: Kafka: Brilliant and Challenging Surreal Fiction.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, January 20, 2012 - Morning Program - Greg Moore: The New Era of Media and Information Delivery: The Denver Post Engages and Evolves.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, January 27, 2012 - Morning Program - Kent MacLennan & Lew Turner The Colorado Meth Project.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, February 3, 2012 - Morning Program - Roxane White: Chief of Staff: Colorado Blueprint: Governor John Hickenlooper’s Vision Update

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, February 10, 2012 - Morning Program - Stephen Berman M.D. and
Dr. Edwin Asturias: Impacting International Child Health.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, February 17, 2010 - Morning Program - Dr. Jill Tiefenthaler: Economics of Domestic Violence.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:

Yes / No I will attend Friday, February 24, 2012 - Morning Program - Gino Greco CEO Red Cross: The American Red Cross: On The Front Lines In Colorado – In The World.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I/we will attend Monday, February 27, 2012 - Evening Program - Judge Bob Kapelke: Here Come the Spoofers! Here come The Spoofers!! Back By Popular Demand!

Yes / No I will stay for Dinner & Program- $45.00

Guest Name, $15 per person:


Yes / No I will attend Friday, March 2, 2012 - Morning Program - Dr. Vincent A. Fulginiti: How did infectious diseases affect Habitat, Hubris ,Hostility, Hearth, Habit, Hallelujah, Heritage, Horticulture, and Harmony?

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I/we will attend Friday, March 9, 2012 - Morning Program - Dr. Bonnie J. Clark: The Archaeology of Amache, Colorado’s WWII Japanese American Internment Camp.

Yes / No I will stay for lunch - $20.00

Guest Name, $15 per person:


Yes / No I will attend Friday, March 16, 2012 - Morning Program - Dr. Mark Varien: The Origins of Pueblo Society and Development of Mesa Verde World.

Yes / No I will stay for lunch - $20.00

23Guest Name, $15 per person:


Yes / No I/we will attend Wednesday, March 21, 2012 - Morning Program - Denver Eclectics Spends the Morning with The Boston Brass.

Yes / No I/we will stay for Dinner & Program- $45.00

Guest Name, $15 per person:


Yes / No I will attend Friday, March 23, 2012 - Morning Program - Eric Lorberer: The Art of Erasure.

Yes / No I will stay for lunch - $20.00

23Guest Name, $15 per person:


Yes / No I/we will attend Friday, March 30, 2012 - Morning Program - Patricia Cooper & Cynda Arsenault: Vision: Women’s Regional Network the Women of Afghanistan Pakistan and India.

Yes / No I will stay for lunch - $20.00

23Guest Name, $15 per person:


Yes / No I will attend Wednesday, April 11, 2012 - Evening Program - Earl Wright CEO of AMG:Update – Buzz – Economic Insight.

Yes / No I/we will stay for Dinner & Program- $45.00

23Guest Name, $15 per person:


PLEASE REVIEW YOUR INFORMATION AND CLICK BELOW TO SUBMIT YOUR RESERVATIONS. REMEMBER TO PRINT FOR YOUR RECORDS BEFORE YOU SUBMIT!

THANK YOU!