(use the print
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Napoleonic
Historical Society - October
16-19,
Philadelphia, PA
| Name: | ||
| Street: | ||
| City: | State: | Zip |
| E-Mail: | Tel: | Fax: |
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I will be accompanied by: |
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REGISTRATION |
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| EVENT | QTY | PRICE | TOTAL AMT |
| Full Conference registration (includes all events except President's Dinner) | $350 | ||
| President's Special Dinner (seating limited to 14 people) | $175 | ||
| Friday Dinner and Theater only | $100 | ||
| Saturday Lunch and Concert only | $100 | ||
| Saturday Annual Society Banquet only | $150 | ||
| Sunday Walking Tour (available for Full Conference attendees only) | Free | ||
| Sunday Post-Conference dinner at City Tavern (dutch treat) | - | ||
| TOTAL | |||
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MEAL PREFERENCES |
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Friday Dinner |
____ Crab Cakes with
champagne-mustard sauce. ____ Chicken breast marsala and salmon filet |
| Saturday Banquet |
____ Grilled Filet Mignon with garlic and herb crust. ____ Medallion of veal tenderloin with chanterelle and mushroom sauce |
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MEMBERSHIP RENEWAL |
| Please
renew my membership at the following level: ___
$75.00 ___ $100.00
___ $250.00 ___ $500.00 ___ $1000.00 |
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Regrets: Sorry, I cannot attend. Enclosed please find my donation of $ _______ |
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TOTAL AMOUNT PAID |
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METHOD OF PAYMENT |
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______ My check is enclosed. _______ Please charge the amount indicated above to the following credit card : |
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| expires: | ||||
| Signature: | ||||
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Please make checks payable to The Napoleonic Historical Society and mail together with this fprm, by October 7, 2008 to: |
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Ms. Barbara Chambers,
Treasurer,3360 St. Helena Highway, St. Helena CA 94574 |
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The cutoff date for cancellation and refund is October 7, 2007. |
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TO RETURN TO THE CONFERENCE PAGE, CLICK HERE. |