Registration Form 15th Summer Seminar on Jewish Genealogy Park Plaza Hotel, Boston, Massachusetts July 14-19, 1996 Please print out this form, type or print clearly, and mail to the address below with your check. Last Name:________________________ First Name:____________________________ Spouse/companion (if seminar attendee): Last Name:____________________ First Name:___________________________ Address:__________________________________________________________________ City/Town:_________________________ State/Province:_________________ Zip__________ Telephone: Daytime____________________________ Evening____________________________ Fax________________________________ E-mail________________________________________ Enclosed is my check/money order payable to "JGSGB - Summer Seminar" ________$150 -- Registration* -- after May 14, 1996 Full refund upon written request received by June 30, 1996 ________$80 -- Additional registration fee for spouse/companion (resource guide not included) ________$40 -- Daily rate (resource guide not included) _______days ________$25 -- Additional resource guides may be purchased. Reserve ____copy(ies) ________$50 -- Banquet dinner Thursday evening, July 18, 1996. Number of tickets_____ Dinner will be buffet style, with vegetarian and kosher foods available. ________US$ Total enclosed * Includes resource guide, as noted above. >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< NAME TAG / SEMINAR FAMILY FINDER INFORMATION How do you wish your name to appear on the tag? ____________________________________________ Print up to 5 ancestral surnames and towns that you are researching. These names will be listed on your name tag. Use the current town spelling as it appears in "Where Once We Walked" or a recent atlas. Surnames Towns & Countries ~~~~~~~~ ~~~~~~~~~~~~~~~~~ Please limit to Please limit to 15 characters and spaces 25 characters and spaces ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ For Registered spouse/companion name tag information: How do you wish your name to appear on the tag? ____________________________________________ Print up to 5 ancestral surnames and towns that you are researching. These names will be listed on your name tag. Use the current town spelling as it appears in "Where Once We Walked" or a recent atlas. Surnames Towns & Countries ~~~~~~~~ ~~~~~~~~~~~~~~~~~ Please limit to Please limit to 15 characters and spaces 25 characters and spaces ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ ____________________________ _________________________________ <<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> SPECIAL EVENTS/NEEDS: Check box if you are interested in: ____Birds of a feather workshops. Which ones?_______________________________________________ ____Visiting cemeteries in the Boston area. Which ones?_______________________________________________ Excursions to western Mass.: ____Pittsfield (New York passenger lists) ____Amherst (National Yiddish Book Center) Excursions to Rhode Island: ___Providence ___Newport What is your level of experience in genealogy? ___Beginner ___Intermediate ___Advanced Please number the following facilities in order of priority for your research at the seminar: ___American Jewish Historical Society ___Boston Public Library ___Brandeis University - Goldfarb Library ___Harvard University - Widener Library ___Hebrew College Library ___Massachusetts State Archives ___Massachusetts Registry of Vital Records ___National Archives, New England Region (Waltham) ___New England Historic Genealogical Society ___Other:_______________________________________ <<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< Do you need a roommate? Return a self addressed stamped envelope with this registration for roommate list. ___male ___smoking ___female ___non-smoking Date of arrival:________________ Date of departure:___________________ <<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Please mail completed registration form together with your check, to assist us with our planning to: 1996 JGSGB Summer Seminar c/o Carol Baker 7 Wiswall Circle Wellesley, MA 02181 Tel: (617) 237-6369 FAX: (617) 237-1039 e-mail: 73663.1637@compuserve.com <<<<<<<<<<<<<<<<<<<<<<< end of form >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>