The Filson Institute Academic Conference Registration Form

October 20 – 21, 2006, Louisville, Ky.

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Name(s)

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Address

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City/ State/ Zip

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Telephone/ Email

___________ Members ___________ Nonmembers

FRIDAY, OCTOBER 20 - Day 1 of Lectures - 9:00 a.m. - 4:00 p.m.

_____   Opening Remarks - 9:00 a.m
_____   Session 1 - 9:30 a.m
_____   Session 2 - 11:15 a.m
_____   Session 3 - 2:15 p.m
_____   Optional Lunch - $8.00

SATURDAY, OCTOBER 21 - Day 2 of Lectures - 9:00 a.m. - 4:00 p.m.

_____   Session 4 - 9:00 a.m
_____   Session 5 - 10:45 a.m
_____   Session 6 - 2:00 p.m
_____   Closing Remarks - 3:30 p.m
_____   Optional Lunch - $8.00

Method of Payment (Checks payable to The Filson Historical Society)

_______ Check _______ Visa _______ MasterCard ____________ Exp. Date

Card Number ___________________________________________________

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Signature

Please send this form with payment to:
The Filson Institute Conference
1310 South Third Street
Louisville, KY 40208