Free Interface Membership Registration To become a member of our Interface community, sign up for a free membership by filling out the registration form below. You'll receive our annual schedule mailed to your address and a monthly email reminder for upcoming presentations: First Name: Last Name: Credential: Affiliation/Title: Address: Apt./Suite: City: State: Zip: Phone(w): Phone(h): Phone(c): E-mail me a monthly program reminder to me at: E-mail: Do not send related information from other organizations. While you're here... Pre-pay now for the entire annual series and save $20! Covers all 11 monthly Wednesday morning programs, including a light continental breakfast. By pre-paying, you'll save $20 ($10.00 at the door) and have a printed name tag waiting for you! Payment Options: I will pay $90.00 online securely using Paypal. (After clicking the "submit" button below, you will have the option to make a secure payment with Paypal.) I will mail a check today for $90.00. Print out this page & enclose your $90 check. Make checks payable & mail to: INTERFACE PO Box 17474 Boulder CO 80308 I plan on attending, but will pay $10.00 at the door. Comments/Suggestions: INTERFACE respects the privacy of members, attendees, presenters and contacts. Interface never sells it's mailing list to anyone. Contact information is used to inform about Interface activities, and occasionally for related announcements deemed of special interest to the Interface community. Email or snail mail addresses may be shared with organizations that co-sponsor an Interface event. Any individual may request their contact information be restricted to Interface announcements only, or that their information be removed completely, by sending an email request to do so.