Preserving the American Dream Conference Registration Form

Fill out this registration form to reserve space for the Third Annual Preserving the American Dream conference.

 


I want to attend the 2005 Preserving the American Dream conference. I would like to pay the:

I would also like to go on the optional tour of Twin Cities-area smart-growth projects ($25). (Tour goes from 8:30 am to 4:30 pm on Friday, June 24.)

I plan to attend the Friday evening buffet dinner and debate (free if you are attending the rest of the conference, $25 if you are not).

I would also like to join or renew my membership in the American Dream Coalition ($25) and contribute $ .

Please send an invoice via mail e-mail.
Plan to make checks payable to "American Dream Coalition" and send to:
ADC, P. O. Box 1590, Bandon, OR 97411.

We will reserve space for you when we receive payment. If you must cancel before June 1, we will give you a full refund. If you must cancel after June 1, your refund will depend on whether we can fill your space with a late registrant.

To make hotel reservations, call the Holiday Inn Select at 952-854-9000 or toll free at 800-465-4329 and mention you want the Preserving the American Dream conference rate.

Name:
Organization (if any):
Address:
City: State: Zip:
Phone: Email:

Please contact me about possibly becoming a conference co-sponsor.

I also have the following comments or suggestions: