Mines of Spain Fall Seminar
September 11, 2004

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Please Pre- Register
Registration Form
Registration Fee:
$5.00/per adult/ $2.00 per child under 12 (non-refundable)

Return Form to:
Friends Of The Mines Of Spain
8991 Bellevue Heights
Dubuque, IA 52003


Name______________________________________________

Address____________________________________________

City_________________________State_____Zip___________

Phone______________________________________________
*Lunch will be on your own.

Please indicate your 1st and 2nd choice for each session using corresponding numbers to title. We will try our best to honor your choices.

	1st Choice	2nd Choice
8:30 am	_________________	_______________
10:00 am	_________________	_______________
12:30 pm	___________________	_________________
2:00 pm	_________________	_______________

Please fill out a separate form for each person attending the seminars.
Make checks payable to the Friends of Mines of Spain

Send to:
Friends of The Mines of Spain
8991 Bellevue Heights
Dubuque, IA 52003-9214
563-556-0620 voice
563-556-8474 fax

Sponsored by:

Friends of the MInes of Spain
and
Iowa Dept. of Natural Resources