Registration Form to Register by Mail

Name:___________________________________________________

Address:_________________________________________________

City, State, Zip:___________________________________________

Daytime Phone:___________________________________________

Email:___________________________________________________

Please Note: There are no food vendors nearby. You are welcome to bring your own lunch. Registration for lunches and/or Friday night reception must be in before Feb. 28th.
Early registration, must be postmarked Feb. 28th
Friday, March 6, Wine and Cheese Reception(must register by 2/28)	___ at $15	= ______
Conference: early registration by 2/28	___ at $35	= ______
Conference seniors (+62) by 2/28	___ at $25	= ______
Conference students/teachers by 2/28	___ at $20	= ______
Buffet Lunch (must order before 2/28)	___ at $18	= ______
LATE Registration	___ at $45	= ______
Total enclosed		= ______
Reception and Conference are at the Museum of History and Industry – 2700 24th Avenue East. Parking is free. Call 206-324-1126 for directions

Make Check out to PNW Historians Guild and send to:
PNW Historians Guild
4843 50th Avenue S.W.
Seattle, Washington 98116

Questions about registration?
Call Cathy 206-937-9604