RAJA 2015 – COLORADO SPRINGS
4 – 7 JUNE 2015
REGISTRATION FORM
Price
Number
Attending
Registration fee
$40 per person
______
$0.00
______
Icebreaker - Thursday
$45 per person
______
$0.00
______
AFA/Garden of the Gods (incl lunch) - Friday $40 per person
______
$0.00
______
Cripple Creek (Mine Tour) - Saturday
$40 per person
______
$0.00
______
Alternative: Cripple Creek (Train Tour) - Sat $35 per person
______
$0.00
______
RAJA Banquet - Saturday
$50 per person
______
$0.00
______
Golf* - AFA - Thursday morning
$46 per golfer
______
$0.00
______
Event
Total
$0.00
______
Grand Total
Banquet Entree (Member): Flatiron Steak___ Pinenut Colorado Striped Bass___ Vegetarian___
Banquet Entree (Spouse/Guest): Flatiron Steak___ Pinenut Colorado Striped Bass___ Vegetarian___
Name of Member ______________________________________
Name of Spouse or Guest __________________________________
Cell _________________________
Cell _______________________
Address _______________________________________________________________________
City _______________________ State _____ Zip Code __________ Phone _________________
Email _________________________________________________________________________
Emergency Contact Name and Number _______________________________________________
Special Food/Transport Needs ______________________________________________________
Information about you/your family to be published in the Registration Book:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
NLT 15 April 2015, please mail this form and a check payable to “RAJA Inc.” to: Brian X. Bush,
18550 Augusta Drive, Monument, CO 80132. (Please see refund policy in meeting information.)
NLT 1 May 2014, make a reservation at the Doubletree, Colorado Springs, 1755 E. Cheyenne Mountain
Blvd., Colorado Springs, CO, phone 719-576-8900 - tell them you are with RAJA - $119 double; $109 single.
*Golfers: Contact Brian Bush at [email protected] to indicate whether you need rental clubs (left or
right - or for Don Curry - a set of ladies).