Registration Form

Midwest Jewish Genealogical Conference Registration & Fees

Sunday, June 6, 2004
Temple Judea Mizpah
8610 Niles Center Road,
Skokie, Illinois
Click here for map and directions.

By May 15, 2004

Conference Only:

    Members $45

    Non-Members $50

Conference + Membership in Jewish
Genealogical Society of Illinois* $70

After May 15, 2004

Conference Only:

    Members $55

    Non-Members $60

Conference + Membership in Jewish
Genealogical Society of Illinois* $80
*Special package available to new members only.
Conference fees cover all sessions, syllabus and lunch.

Please submit one form for each individual. (photocopies permitted)

Name_____________________________________
Address___________________________________
City______________________________________
State______________ Zip___________________

   Phone (day) _______________________
Phone (evening) ___________________
E-Mail_____________________________

Please Help Us Plan Space
Circle the numbers of sessions you plan to attend:

A-1 A-2 A-3 A-4 A-5

B-1 B-2 B-3 B-4 B-5

C-1 C-2 C-3 C-4 C-5

Send registration form with check payable to:
Jewish Genealogical Society of Illinois
823 Keystone Avenue
River Forest, IL 60305

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By May 15, 2004
Conference Only:
Members	$45
Non-Members	$50
Conference + Membership in Jewish Genealogical Society of Illinois*	$70
After May 15, 2004
Conference Only:
Members	$55
Non-Members	$60
Conference + Membership in Jewish Genealogical Society of Illinois*	$80	*Special package available to new members only. Conference fees cover all sessions, syllabus and lunch.