Workshop Registration Form

Workshop Date: _____________________________

Workshop Title: _______________________________________________

Cost: $50 for one day (includes lunch and all materials) due with registration
Refund of $40.00 will be given for cancellations received two weeks prior to workshop.

Name ___________________________________________________________________

Address ________________________________________________________________

________________________________________________________________________

Phone _________________________

Payment may be by check or credit card. Please make checks payable to the Maryland State Archives.

Credit card no. ____________________________ Expiration __________

MC ____ VISA ____ DISC ____

Send to: Genealogy Workshop, Maryland State Archives, 350 Rowe Blvd., Annapolis, MD 21401