WORKSHOP REGISTRATION:

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Name:

Organization:

Address 1:

Address 2:

City:
Option

Zip:

Home Phone:

Work Phone:

Contact Email: - Required

Register me for - please select only one

Registration Fees:

$25 Student
Copy of student ID or Proof of enrollment required

$100 Forum Member - Enter Number Below

$125 General Member - Number:

$175 Non Member
price includes 1 yr. general membership)

Registration Fees:

$25 Student
Copy of student ID or Proof of enrollment required

$125 Forum Member - Enter Number Below

$150 General Member - Number:

$175 Non Member
price includes 1 yr. general membership)

Payment Information: (Please fill out completely)

Payment Method:

Card Number:

Expiration: MM/YY

CVV Code: 3 digit security code on back of card.

Billing Address:

Billing Zip Code:

Please check back in August for the 2008-2009 workshops list.

Multiple Registrations
Please register individually for each workshop you would like to attend.

Seminar Location, Hours & Hotels
Confirmation of your registration is sent out by email or fax approximately three weeks prior to the seminar date. This information will include seminar location and directions, seminar agenda, and a list of conveniently located hotels.

Remit copy of student ID or
proof of enrollment (if applicable)
Florida Trust for Historic Preservation
P.O. Box 11206
Tallahassee, Florida
Phone: 850.224.8128
Fax: 850.224.8159

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WORKSHOP REGISTRATION: