SMI Basic Spring Design Seminar
Registration Form
Please use one form per attendee

Please register me in the following spring design workshop:
June 22-23, 2006
 (Registration closes May 19)
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*First: *Last:
Company:
*Address:
*City: State: Zip:
Country: *E-mail:
*Phone: Fax:
Special Needs:
Register me in the Basic Spring Design Seminar as an SMI member for $550.
Register me in the Basic Spring Design Seminar as a nonmember for $700.
I would like to pay by:
Check
 Visa
 MasterCard
 American Express
Sorry, SMI cannot bill you. Please send payment at least two weeks before beginning of the workshop. Please note: You are not fully registered until we have received your check in the mail.
Name on Card:
+Card Number: +Exp Date:
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* Required Fields
+ Numerals only. No hyphens, spaces or dashes.