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PLEASE PRINT CLEARLY
| Name(s): | ______________________________________________________________________ | |
| ______________________________________________________________________ | ||
| ______________________________________________________________________ | ||
| Telephone Number: | ______________________________________________________________________ | |
| Email Address: | ______________________________________________________________________ | |
| _______________ | Members at $35.00 | ______________________________ |
| _______________ | Non-Members at $40.00 | ______________________________ |
| _______________ | Lunches at $6.00 | ______________________________ |
| Total enclosed: | ______________________________ | |
Registration received after 7 February 2009 and walk in attendees may purchase their own lunch at the Bookmark Cafe.
Please send print this page and mail with your check payable to the Pinellas Genealogy Society to:
Damon Hostetler, Seminar Chair
107 N Cirus Ave
Clearwater, FL 33765-3104
Confirmation of registration will be delivered by enclosed SASE or via email.