Registration Form - 2008 Annual Meeting

 

FLORIDA HISTORICAL SOCIETY

2008 ANNUAL MEETING

LAKEWOOD RANCH HOLIDAY INN

MAY 21 – 24, 2008

Name:___________________________________________________________

Address:_________________________________________________________

City:____________________________State:__________ZIP:______________

Telephone Number: ( ) ________________________________________

E-mail:__________________________________________________

(REFUND POLICY: Full refunds through 7 May. NO REFUNDS after 7 May )

REGISTRATION

Individual $75.00 (advance) $_____________

($90.00 at meeting) $_____________

Family $80.00 (2 or more in advance) $_____________

Family $95.00 (2 or more at meeting) $_____________

Student: $30.00 $_____________

One Day Registration _____x $35.00 $_____________

THURSDAY:

*FHS Awards Luncheon # ____x $30.00 $_____________

Chicken_______ Salmon_______ Vegetarian _______

*Bradenton Historic Walking Tour #______ x $30.00 $_____________

*Manatee County Historical Commission $ _____FREE___

Reception (evening) Yes #_____ No #_____

FRIDAY:

*Historic DeSoto Park Tour #_______x $30.00 $_____________

*Society Banquet (evening) #______ x $50.00 $_____________

Prime Rib #_______ Tilapia #_______Vegetarian #______

SATURDAY:

*Society Picnic # ______ x $15.00 $_____________

Vegetarian? Yes / No

TOTAL $_____________

PAY BY CHECK OR CREDIT CARD (MasterCard/VISA/Discover)

NAME:___________________________________________________________

(As it appears on card)

Account Number:___________________________________________________

EXP DATE:__________________/_______________/______________

 

(Signature)

MAIL REGISTRATIONS TO :

FLORIDA HISTORICAL SOCIETY OR FAX TO: 321-690-4388

435 BREVARD AVENUE

COCOA, FL 32922

Call (321) 690-1971, extension 203, to register by telephone.