Richard III Society
Annual General Meeting 1999                Registration Form



AGM Registration:                                     @ $55/ea                                      $                  

Saturday Night Banquet:                            @ $45/ea                                       $_________

Sunday Morning Benefit Breakfast:  _____ @ $20/ea                                      $                  

Schallek Fellowship Award Raffle Tickets:
$1 /ea  or  6 for $5   (winner need not be present to win) #_____                     $_________

                                                                                TOTAL ENCLOSED:   $_________



Name: 

Address:


City/State/ZIP:


Telephone Number: 

E-Mail: 
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