CANAL SOCIETY OF NEW YORK STATE

 

Pre-Registration Form for CSNYS Winter Symposium &Meeting

Saturday, March 1st, 2008

Monroe Community College, Rochester, NY

 

Return this Pre-registration by:  Wednesday, February 20th, 2008

If you are planning on attending, PLEASE send this form in—it is necessary for our lunch count and arrangements.  (For form in pdf format, click here)

 

To:             David L. Kipp, CSNYS

                   61 Thistledown Drive

                   Rochester, NY 14617

 

If questions:        Phone (585) 387-0099

                             E-mail: tgrasso1@rochester.rr.com

 

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Pre-registration fee is $40.00 per person which covers, continental breakfast, coffee break, lunch, parking, speaker fees and sundry costs.

 

¨   Check for $40 per person enclosed

¨   Will pay $40 per person at the door (cash or check).

 

Note:  Without Pre-registration, the Fee is $50 at the door.

 

Make checks payable to:  Canal Society of New York State

 

                   $40.00 x ___________  =  $________________

 

Name(s):  ___________________________________________________

 

                  ___________________________________________________

 

                  ___________________________________________________

 

Phone Number:  ________________________