Mail In Registration Form
Limited Space Available.
EXTENSION: If space is still
available, reservations will be taken no later than
September 29, 2010.
Click here for Pre-PayPal Form.
Mail for
arrival before the above date
to:
Gregath Co., Inc., BOX 505, Wyandotte, OK 74370
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
Phone Number:_______________________________
Email: ________________________________
Only 1 Genealogical/Historical OR Lineal Organization (for nametag): ________________________________________________________
Surnames researching (optional): _____________________________________________________________________________________________
_____________________________________________________________________________________________
If registering more than one attendee for Benefit, Showcase, or Conference, please supply their name, nametag information, surnames and email (if applicable) for each. Nametag not supplied with Lunch Only.
Showcase Author Only:
Web address for web site and/or publisher (for PR): _______________________________________________________________________________________________________________
Only 1 Featured Title (for nametag & PR): ________________________________________________________
Additional Titles/Subject (optional but useful for promotion and cross-reference): _____________________________________________________________________________________________
_____________________________________________________________________________________________
Please group me with other (circle one) Fiction OR
Non-Fiction
authors.
(circle one) All OR Most of my titles are thus.
(please check one)
o I will pick
up my box lunch in the atrium.
o Please
deliver my box lunch to my display.
____ Friday Benefit Dinner @ $30.00 each = $_______________
____ Saturday Showcase Full Table w/lunch @ $25.00 each = $_______________
____ Saturday Showcase Half Table w/lunch @ $20.00 each = $_______________
____ Saturday Genealogy Conference w/lunch @ $25.00 each = $_______________
____ Saturday Lunch Only @ $15.00 each = $_______________
Total Enclosed = $______________
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