Registration Form

Name:___________________________________________________

Address:_________________________________________________

City, State, Zip:___________________________________________

Daytime Phone:___________________________________________

Email:___________________________________________________

Institutional Affiliation:______________________________________

The Marcus Whitman Hotel & Conference Center is ADA Accessible. Call the Marcus Whitman Hotel for special Pacific NW Historians Guild Conference hotel rates at 866-826-9422 by September 7.

Number of Registrants:	________________________
Early Registration (before September 16) (includes lunch):	___ at $50 each	= ________
After September 14th (includes lunch):	___ at $60 each	= ________
Students (must show I.D.):	___ at $15 each	= ________
Box Lunch: (Choose One: ____ Veg ____ Meat)
Friday Night: Dinner at The Marc:
(Choose One: ____ Veg ____ Meat)	___ at $30 each	= ________
Total enclosed		= ________

Please make checks payable to FWWM
Send check with this form to:

Guild Conference, FWWM
755 Myra Rd.
Walla Walla, WA 99362

For more information, contact Mary Ann McKinney at maryann@fortwallawallamuseum.org or check website www.fortwallwallamuseum.org.