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PLEASE PRINT CLEARLY
| Name(s): | ______________________________________________________________________ | |
| ______________________________________________________________________ | ||
| ______________________________________________________________________ | ||
| Telephone Number: | ______________________________________________________________________ | |
| Email Address: | ______________________________________________________________________ | |
| _______________ | Members at $35.00 | ______________________________ |
| _______________ | Non-Members at $40.00 | ______________________________ |
| _______________ | Lunches at $6.50 | ______________________________ |
| Total enclosed: | ______________________________ | |
Registration received after 7 February 2010 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:
Larry Hosmer, Seminar Chair
500 South Belcher Rd, #58
Largo, FL 33771
Confirmation of registration will be delivered by enclosed SASE or via email.