Registration June 1
RMAPT Presents:
Otto Kroeger Type and Leadership
RMAPT Members-$59
Non-Members RMAPT-$89 includes 1 year RMAPT membership
Students (full time graduate student)-$39 includes 1 year student membership
Registration Deadline May 25. Add $10 to fee after May 25.
Please type or print the following information:
Name_____________________________________________________
RMAPT Member _____ Non-member____ Student____
Type Preference_____________________________________________
Address____________________________________________________
City______________________________State__________Zip______
Company/School____________________________________________________
Email Address________________________________________________
Home Phone_________________________________________________
Business Phone_______________________________________________
Credit card #___________________________ Exp. Date____________ Amount $______
Visa____Master Card____
Name on Credit Card__________________________________________________
Return this form to: Larry Gabbard
8261 Cooper River Dr., Colorado Springs, CO 80920
Make checks payable to: RMAPT
Fax to: 719-593-1858
Membership Questions? Contact carolyngab@comcast.net