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Registration Form (please print and mail)

November 16 & 17, 2007, Clarion Hotel, 3333 S. Glenstone, Springfield, Mo.*

Please print your name(s) as you want it to appear on your name tag

Name(s):_____________________________________________________

Address:_____________________________________________________

Phone:_______________________________________________________

A confirmation of your registration will be sent to you.

                                                                        Number                Before    After                     

                                                                                                Attending            Oct. 31   Oct 31                    Total

Friday, Nov. 16^th, Dinner and Speaker to follow:__________  x        $20.00   $20.00        =         _______

Saturday, Nov. 17^th 7:00 AM – 5:00 PM**                  _________  x       $30.00   $40.00        =         _______

Friday & Saturday Combo                                             _________  x       $50.00   $60.00        =         _______

Grand  Total                                                                                                                                                       _______

**Please note:  An Italian Buffet Lunch is provided on Saturday, November, 17^th.

If you are attending on Friday please  circle  either:  Mango Salmon or Peach Pork Tenderloin for your dinner selection.

Please make checks or money orders payable to:  The Civil War Round Table of the Ozarks.

Mail your registration along with payment to: 

The Civil War Round Table of the Ozarks

                                                            P. O. Box 3451

                                                            Springfield, Mo. 65808-3451

*Special Room Rates are available for those attending the seminar!  Call (417) 883-6550 and mention that you are attending the Civil War seminar to get the discounted rate!