Registration Form

2008 ANG Workshop by Mail Project
Get to the Point by Sue Reed

Registration Form

(Check, Money Order, or Credit Card purchase)

ANG Membership Number:

First & Last Name:

Address:

City, State (or Province), & Zip (or Postal Code):

Country:

Home & Work Phone:

E-mail Address:

	Select one: ANG Members:
	_____	$35 (United States address only)
	_____	$40 (International address, includes $5 postage)
	My desired method of payment is:
	_____	Check (enclosed, amount as noted in selection above, payable to ANG)
	_____	Money Order (enclosed, amount as noted in selection above, payable to ANG)
	_____	Credit Card: ___ Visa ___ MasterCard Expiration date (month/year): _____________ Credit card number: __________________________________________ Name on card: ______________________________________________ Signature of cardholder:________________________________
Send this completed form by June 30, 2008 to: ANG Workshop by Mail 2810 Crossroads Drive, Suite 3800 Madison WI 53718 Please make checks and money orders payable to ANG Workshop by Mail. Members: Please include your ANG membership number on your check. Note: Payments must be in U.S. dollars drawn on a U.S. bank. If paying by credit card, you may either fax or mail your completed form. Fax number: 608-443-2478. Sending payment by both postal mail and fax may result in a duplication of orders. All orders are nonrefundable.