- REGISTRATION FORM -
Print, complete and mail to Bob Frishman with check to NAWCC.


LAST NAME_______________________________________ FIRST NAME_______________________________
STREET___________________________________________ CITY, STATE, ZIP____________________________
PHONE __________________________________________   EMAIL_____________________________________

Name(s), City, State for Badge(s) _________________________________________________________________

                                                          _________________________________________________________________

FULL  SYMPOSIUM  REGISTRATION - Includes: Thursday opening-night private reception and dinner
    in the museum;  Friday lectures, picnic lunch and tours in Greenfield Village;  Saturday lectures in
    museum Anderson Theater;  Saturday evening candle-lit dinner in village Eagle Tavern.

                                                                                                                          $350 x ______            $_____________

ADDITIONAL  DONATION  OR  SPONSORSHIP (Registration fees cover
    only a portion of the actual costs of the event.)                                                                          $_____________

                            Personal or Business Name for donor/sponsor public thank-you list:

                             

                            ____________________________________________________________

                                                                                   

                                                                                     * TOTAL ENCLOSED (check to “NAWCC”)   $_____________


Registration fees are devoted entirely to direct symposium costs including food, facilities rental, technical support, and speaker travel and lodging. All speakers have waived honorariums, and none are compensated for their research, preparations or presentations. Symposium organizers and workers all are volunteers.

INFORMATION & MAIL-IN REGISTRATION:
Bob Frishman, Symposium Chairman, 53 Poor Street, Andover MA 01810
978-475-5001, bell-time@comcast.net

SPACE IS LIMITED.  REGISTRATION DEADLINE AUGUST 30.

Online registration is available at the NAWCC Website.  Members should sign in to register.  Non-members should click "create an account" at the right to proceed with the online process.    Thank you.