Printable Registration Form

To register for the 2017 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 $$450.00 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, July 16, 2017. 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 July 7th, 2017. 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.

       
Signature   Date