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Gregath Company,
Incorporated |
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Mail In Registration Form Mail for
arrival before the above date
to: Name: ___________________________________________________________________________ Address: _________________________________________________________________________ Phone Number:_______________________________ Email: ________________________________ Only 1 Genealogical/Historical OR Lineal Organization (for nametag): ________________________________________________________ Surnames researching (optional): _____________________________________________________________________________________________ _____________________________________________________________________________________________ If registering more than one attendee for Benefit, Showcase, or Conference, please supply their name, nametag information, surnames and email (if applicable) for each. Nametag not supplied with Lunch Only. Showcase Author Only: Web address for web site and/or publisher (for PR): _______________________________________________________________________________________________________________ Only 1 Featured Title (for nametag & PR): ________________________________________________________ Additional Titles/Subject (optional but useful for promotion and cross-reference): _____________________________________________________________________________________________ _____________________________________________________________________________________________
Please group me with other (circle one) Fiction OR
Non-Fiction
authors.
(please check one)
____ Friday Benefit Dinner @ $30.00 each = $_______________ ____ Saturday Showcase Full Table w/lunch @ $25.00 each = $_______________ ____ Saturday Showcase Half Table w/lunch @ $20.00 each = $_______________ ____ Saturday Genealogy Conference w/lunch @ $25.00 each = $_______________
____ Saturday Lunch Only @ $15.00 each = $_______________
Total Enclosed = $______________ NO SHIPPING OR HANDLING FEES NEEDED Website Home > Current Event Home Page > 2010 > Registration Form Page Last Updated: November 14, 2011 |
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