Name(s) ________________________________________________
Address ________________________________________________
City____________________________State________Zip Code_____________
Daytime telephone: __________________________
Evening telephone: __________________________
e-mail: _____________________________________
I/we ( #_____ ) will attend JGSLIs Genealogy Workshop and enclose payment
of $ ______ for (check one):
Fee includes next years Society dues.
| Early registration (by Oct. 21) | $45 |
| Additional family members* | $15 |
| Late registration (after Oct. 21) | $55 |
| Additional family members* | $15 |