FVGS Fall Conference Reservation

FVGS 2010 Fall Conference Application - Saturday, September 25, 2010

Your Information

First Name:		Last Name:
Address:		FVGS Member:

City:		State:	Zip Code:
Phone:	-	E-mail:

Your Research

List Up to 10 Surnames You Are Researching.
Attendees Will Receive a Surname Directory.

Pay For Registration with Credit Card Using Secure PayPal

Non-members may pay an additional $16.00 now for calendar year 2011 FVGS membership and obtain the member conference rate. After Sept. 10th, the cost for all participants is $45.

A confirmation will be emailed by PayPal.

Please select the appropriate payment:

Member Registration - $35 Registration with 2011 Membership - $51 NonMember Registration - $40

We would appreciate it if you would add $1 to the fee to defray charges we pay to collect payments online.