I / We wish to attend the The Future of
Naturalism at the Center for Inquiry Transnational, at $89 for advance registration,
$49 for students. Lunches and the banquet are optional, for the
additional prices shown below. The price for everything included is
$164, or $124 for students.____ person(s) @ $89 registration ____ student(s) @ $49 registration
____ person(s) @ $20 each for Friday lunch ____ person(s) @ $20 each for Saturday lunch
____ person(s) @ $35 each for Saturday banquet
Total enclosed: $_________________
Name(s): __________________________________________________________________________________________________
Address: _______________________________________________________________________________________________
City, State, Zip: _________________________________________________________________________________________
Email: ___________________________________________________ Day phone: _________________________________
[ ] I enclose a check payable to Center for Inquiry
[ ] Charge my credit card: [ ] MC [ ] Visa [ ] AmEx
Card number: _______________________________________________ Exp. date: ________________________________
Signature for credit charge: _____________________________________________________________________________
Paying by check/money order? Mail this form with your payment to "Center for Inquiry" and send it this address: Center for Inquiry, attn: John Shook, 3965 Rensch Rd., Amherst, NY 14228
Paying by credit card? Mail this form to the above address or fax it to John Shook at 716-636-1733.