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Yes, I would like to make reservations for _____ persons to attend the 2008 ISHS Annual Awards Luncheon. Reservations are $35 per person. Checks should be made payable to the Illinois State Historical Society. All reservations are due by April 15. Name ________________________________________________________________________ Additional Name(s) ______________________________________________________________ Additional Name(s) ______________________________________________________________ Additional Name(s) ______________________________________________________________ Additional Name(s) ______________________________________________________________ Additional Name(s) ______________________________________________________________ Address _______________________________________________________________________ City, State, Zip __________________________________________________________________ Phone ( ____ ) __________________________________________________________________ For reasons of security, we must know in advance the full names of all attendees, including award recipients and their guests. We encourage you to make your reservations early, as seating is limited at the mansion. All reservations are due by 5 p.m., Tuesday, April 15, 2008. To make your reservations complete the registration form and send check or money order ($35 for each reservation) to the below address. To pay by credit card, complete the credit card information at the bottom of this form or call 217-525-2781. Annual Awards Luncheon Illinois State Historical Society, 210 ½ S. Sixth Street, Suite 200, Springfield, Illinois 62701. No refunds after April 21. Charge Card orders: Please charge my reservations to my credit card (MasterCard and VISA only, please): #_______________________________ Expiration: _____________ My telephone # is: ____________________
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Visitors to this site: Send mail to
tcameron@historyillinois.org
with questions or comments about this web site. |
