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REGISTRATION FORM
                   

2008 Ward Francillion Time Symposium
October 23 – 25, 2008-03-01
Springfield , Il

Name(s): _________________________________________
Street:     _________________________________________
City:        _________________________________________
State:       ___________________
Zip:         ___________________
Phone:     ___________________

Symposium Registration  _____  @ $135 ……......…..... $_________

Spouse Registration _____  @ $25...................................$_________

Sangamo Presentations (Saturday Only) ______@ $10.... $_________
(For local residents who may only want to attend the Sangamo presentation)
(This is included in the Symposium Registration)

Banquet Tickets  _____  @ $ 40 …..….....…................... $_________

Total Amount Enclosed………………………........…. ......$_________

Make checks payable to “2008 Time Symposium” and mail with this form to:

Pam Helfert
2008 Time Symposium
2320 Chesapeake Landing
Springfield , IL   62712

Phone: (217) 585-8215                          Email: helfert@bishoppeak.com

Page Last Updated: 04/10/2008