Please print this form and mail it with your check

Creating Intentional Communities Conference - Registration Form

 Name(s) _____________________________________________________________
                         (names for nametags)____________________________________
Address______________________________________________________________

City _________________________________ State ___  Zip ____________

Phone______/_________________   Fax ______/________________

E-mail _____________________________________________________________

    Registration fee per person:$100 (after July 1, $125)

                                                                    Total Enclosed $_________   

Make checks payable to UNC Asheville      

Refund policy: $10 per person of fee is non-refundable.
No refunds will be made after July 1, 2006.

Optional site visits Saturday, July 29 - Please check below those you would like to go on:
    __ Westwood Cohousing, AshevilleNC
    __ ElderSpirit Community, Abingdon, VA
    __ Both

There is no charge for these site visits. You can drive yourselves or arrange car-pooling with other participants.

Return to:

CIC Conference
Reuter Center, CPO #5000
UNC Asheville   
One University Heights
Asheville, NC 28804-8516

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