A Little Slice of Britain

Saturday, 16 September 2006

Registration Form

__________________________________________________________
(Name/s — person 1, followed by person 2, if any)

__________________________________________________________
(Address)

__________________________________________________________
(Address continued)

__________________________________________________________
(City, State, Zip)

__________________________________________________________
(Phone or email)

Cost:

Members         _______ x $35. = ________
        Check:  □ GSP   □ CCHS

Non-Members  _______ x $45. = ________

Registering on the day of the conference will cost an additional $5.00.

Box Lunch    _______ x $11.50 = ________
 – please check:
 □ Roasted Turkey Breast    □ Baked Ham    □ Vegetarian Wrap  (person 1)
 □ Roasted Turkey Breast    □ Baked Ham    □ Vegetarian Wrap  (person 2)

Total Amount Enclosed:      $____________

       (No refunds after 8 September 2006)

Make checks payable and mail to:

Genealogical Society of PA
215 S. Broad St., 7^th Floor
Philadelphia, PA  19107-5325