PARTICIPANT AND SPOUSE/GUEST INFORMATION:
Full Name:	(type it as you would like it to appear on your nametag)
Firm Name:
Spouse/Guest Name:
Jurisdiction: (Country, State or Province)
Mailing Address:
Telephone:
Facsimile:
E-mail Address:
	REGISTRATION CONFIRMATION WILL BE SENT BY E-MAIL WITHIN 3 BUSINESS DAYS.
SELECT REGISTRATION TYPE:
Meeting Registration:	Member Registration fee, per person - 350 USD Spouse/Guest Registration fee, per person - 150 USD  Registration fee includes all meeting expenses - however does not include sleeping room.
TOTAL DUE:	I will submit payment via check/money order        [Make check/money order payable to:  Ireland, Stapleton, Pryor & Pascoe, P.C.] Please print this form and mail with check to: IRELAND, STAPLETON, PRYOR & PASCOE, P.C. ATTN:  Lisa Beckman 1675 Broadway, Suite 2600 Denver, CO  80202 FAX:  (303) 628-3671 (TEL: (303) 623-2700)
OPTIONAL ACTIVITIES/OTHER INFORMATION:
Please indicate any dietary restrictions, physical disabilities, or other information that you would like us to be aware of in the space provided below.  We will make every effort to accommodate your request.
I am interested in the following activities: Golf Jeep Tour Bike Rentals Aria Spa & Club Vail Valley Music Festival White Water Rafting	My spouse/family is interested in the following activities: Golf Jeep Tour Bike Rentals Aria Spa & Club Vail Valley Music Festival White Water Rafting Kids' Adventure Club