To register for the 2012 Antiquarian Seminar, please print the registration form below and mail the completed form and your payment to:
The Antiquarian Book School Foundation
Kathy Lindeman, Registration Coordinator
1604 East Yampa Street
Colorado Springs, CO 80909
Mailing Information
Mr, Mrs, etc.
First Name
Last Name
Company/Business/Library (optional)
Your mailing address (where you want to receive course materials)
City/Town
State/Province
Zip/Postal Code
Country
Daytime Phone
Alt. / Evening Phone
Fax
E-mail
Is there any alternate contact information you may wish to provide us?
Years in Profession (if applicable)
Specialties/Subjects/Fields (if applicable)
How did you hear about the seminar?
Billing Information
Check box if billing information is the same as above.
Mr, Mrs, etc.
First Name
Last Name
Company
Your billing address
City/Company
State/Province
Zip/Postal Code
Country
Payment Information
Visa
MasterCard
Discover
American Express
Check/Money Order
Credit Card Number
Exp. Month
Exp. Year
CVV Code
Complete and mail this form with the $350.00 deposit to:
The Antiquarian Book School Foundation
Kathy Lindeman, Registration Coordinator
1604 East Yampa Street
Colorado Springs, CO 80909
NOTE — the deposit is refundable only if written notice is received 30 days prior to the Seminar. The balance is payable on or before Sunday, August 5th, 2012. If you pay your balance during campus registration on Sunday, August 8th, you may use a check, VISA, Master Card, American Express and Discover.
Book Seminars reserves the right to cancel the Seminar for any reason before August 1st, 2012. If the Seminar is canceled before that date, the liability of Book Seminars and its organizers to a potential participant shall be strictly limited to the refund of deposit previously received from that participant.
