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Mining for Genealogical Gems

A Conference in Celebration of the
Central New York Genealogical Society's
40th Anniversary

October 19--20, 2001
Quality Inn, Liverpool, NY

Registration Form

Please print name as it should appear on Nametag. Use an another sheet for additional registrations.

First Name  _____________________

Last Name  _____________________

Street Address  __________________________________

City        __________________________________

State _______________ ZIP  ____________

Phone  (_____) ________________

Email address   _____________________________

I grant permission to print my name, address and
e-mail in the conference Syllabus (circle): YES   NO

If applicable: CNYGS Membership # ___________

NYCOGO Organization _______________________

(CNYGS members and NYCOGO delegates and trustees use "member" rate)


Banquet and Rev. War Sampler            $16 $ _____


Conference and Lunch -- Member          $30 $ _____

Conference and Lunch -- Non-mem       $40 $ _____

Ptak Consultation Fri eve __ Sat__       $25 $ _____

Late Registration, after Aug 16, add     $10 $ _____

                                              TOTAL      $ _____

Make checks payable to CNYGS, and mail to:
Diana J. Law, CNYGS Conference Registrar
7213 Manlius Center Rd, East Syracuse, NY 13057

Please circle workshops you wish to attend.

I.    9:00am     1    2           III.      1:30pm    5    6

II. 10:30am     3    4           IV.       3:00pm    7    8

If you plan to come prior to the conference and would like information about area research sites, include a business size SASE with registration and check here:
          Yes, please  [__]

Special meal and ADA requests: Registrants with special meal requirements and/or special needs requirements (ADA), must detail them in writing to CNYGS by Aug. 16, 2001.

Surnames you're researching (max 4, for Syllabus):