2012 SEMINAR REGISTRATION FORM
CONEJO VALLEY GENEALOGICAL SOCIETY
Featured Speaker:
John Philip Colletta, Ph.D.
Saturday, March 24, 2012, 8:30 AM – 3:30 PM
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Name(s) as you want them on name tag(s)
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Address City, State ZIP
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Phone Number Email address
Handicapped seating needed (specify number)? ________
CVGS Members (received or postmarked by Feb. 29, 2012)..... ____ @ $35.00 ___________
Non-Members (received or postmarked by Feb. 29, 2012)...... ____ @ $40.00 ___________
Late Registration (received/postmarked after Feb 29, 2012)..____ @ $45.00 ___________
Tasty Box Lunch available: Total number of lunches... ____ @ $8.50 ___________
Indicate number: Beef ____ Turkey ____ Cheese ____
(served with: pasta salad, coleslaw, fruit, and cookie)
TOTAL ENCLOSED $___________
Please mail registration form and check payable to CVGS to:
CVGS c/o
2482 Oakshore Dr.
Westlake Village, CA 91361
For questions, email: [email protected]