Full refunds if canceled by October 1, 2005.
REGISTRATION FORM
(Please print)
DEADLINE FOR CONFERENCE REGISTRATION IS SEPTEMBER 28, 2005
Mail this registration form and your check to:
Beverley Schauwecker
1920 N. Victoria Drive
Santa Ana, CA 92706
(714) 558-0670 E-mail: bev_schauwecker@juno.com
Make checks payable to Superior Court Clerks Association (SCCA)
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Name: _________________________________
Address: _______________________________
City/Zip: __________________________________
County: ________________________________
E-Mail: ________________________________
Work Phone: ________________________________
( ) Registration for all workshops and meals -- $125.00 per person
( ) Workshops Only $25.00
( ) Continental Breakfast, Saturday $10.00
( ) Buffet Lunch, Saturday $30.00
( ) Breakfast Sunday $18.00
( ) Banquet, Sunday** $45.00
( ) Additional: Winchester Mystery Tour (see below) $_____________
( ) Late Fee $10.00
( ) I am presently a member of SCCA
*SCCA member: You may qualify for partial reimbursement, depending on registration.
( ) I am presently a member of CCA
( ) I would like to join the SCCA. My $20.00 membership fee is enclosed with registration.
( ) I am currently enrolled in the Certification Program.
( ) I request vegetarian meals.
** Banquet choice of ( )chicken & salmon combo ( )filet mignon
( ) I will participate in the RETIREES Dinner Gathering on Saturday evening.
(Time and place will be included in registration packet.)
( ) I would like to go to Winchester Mystery House on Sunday afternoon. $20.00 per person ($17.00 if 64+) added to registration.