Butterflies & Frinds Registration

Butterflies & Friends Registration
Please complete the form below to participate to the Butterflies and Friends event to be held at the Cheyenne Mountain Resort on Saturday, September 17, 2011. The deadline to submit online registrations is September 12, 2011. Fields with a red asterisk must be filled out to complete the registration.
Participation
Please arrange a reservation for
Note: reservations are $75.00 per person.
Butterflies & Friends cannot process online transactions at the moment. To confirm the reservation and complete the payment you will be called at the telephone number entered in the contact section below.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Telephone Number

Area CodePhone Number
Best time to call
On-line bidding is available by email at buyabutterfly@hotmail.com.

For questios please contact Matt Otten at (719) 502-5301.

Butterflies & Friends
Rotary Club of Colorado Springs
P.O. Box 1558
Colorado Springs, CO 80901
Should be Empty:

Butterflies & Friends Registration