(use the print button on your computer to print this form)

 Napoleonic Historical Society Annual Conference
 september 16-18, baltimore, md

name:
street:
city: state: zip
e-mail: tel:
 I will be accompanied  by:
 

REGISTRATION
EVENT QTY PRICE TOTAL AMT
 Full Conference registration
   (includes all events except President's Dinner)     		$325
 Pre-conference President's Special Dinner  
   (Thursday evening - seating limited to 14 people)		 $150
 Friday Dinner and speaker only $75

 Saturday speakers only

 $75
 Saturday Banquet and speaker only $125
 Sunday trip to Annapolis only $50
 Sunday Post-Conference dinner  (dutch treat) -
TOTAL

MEAL PREFERENCES

   Friday Dinner  

   ____ Roast pork chop         (special dietary needs acccomodated on request)
 Saturday Banquet      ____Filet Mignon and Crab cake
   ____ Grilled herb chicken

   TOTAL AMOUNT PAID 

   My check for $________is enclosed.
   Please charge my credit card:
No.         Expires Security
code
Signature

Please make checks payable to The Napoleonic Historical Society
and mail together with this form bySeptyember 9  to:

NHS Treasurer Treasurer, ,PO Box 6262, Villa Park IL 60181-6262
 

The cutoff date for cancellation and refund is September  9, 2011.
Make your hotel reservations as soon as possible. 
For sleeping room reservations, call the hotel directly at 866-583-4162
To get the special group rate,
be sure to mention the Napoleonic Historical society.
 

TO RETURN TO THE CONFERENCE  PAGE, CLICK HERE.