Download and Mail the Registration Form with Your Payment
| 2022_5th_annual_brcw_sym_reg.pdf |
Baton Rouge Civil War Round Table 5th Annual BRCW Symposium Registration
Please print legibly
Name __________________________________________________________________
Address ________________________________________________________________
City ____________________________________State _________Zip _____________
Email_____________________________________________ Phone ______________________
Early Bird Symposium Special Until May 1, 2022
Symposium and Private Tour, $115.00 Number attending_______ ( ) = $_______
Weekend Symposium After May 1, 2022 $135.00 Number attending _______ ( ) = $_______
Full Time Students, First responders, Military $75.00 Number attending _______ ( ) = $_______
Total Number attending ______ total = $_______
Names of additional attendees and email addresses ___________________________________________________________________________
__________________________________________________________________________________________________________________________________
Mmail this form with a check made payable to BRCWRT, to the address below:
John Edwards -10322 Overton Ford Road - Ethel, LA 70730 Questions? Call John (225) 937 - 2782 8am – 10pm
How did you hear about the symposium? ( ) Newspaper, ( ) Facebook, ( ) Friend, ( ) Newsletter, ( ) Online Magazine, Other________________________
For Hotel Info - https://www.brcwrt.com/discounted-hotel1.html
Please help us make the symposium a success by spreading the word.
Please print legibly
Name __________________________________________________________________
Address ________________________________________________________________
City ____________________________________State _________Zip _____________
Email_____________________________________________ Phone ______________________
Early Bird Symposium Special Until May 1, 2022
Symposium and Private Tour, $115.00 Number attending_______ ( ) = $_______
Weekend Symposium After May 1, 2022 $135.00 Number attending _______ ( ) = $_______
Full Time Students, First responders, Military $75.00 Number attending _______ ( ) = $_______
Total Number attending ______ total = $_______
Names of additional attendees and email addresses ___________________________________________________________________________
__________________________________________________________________________________________________________________________________
Mmail this form with a check made payable to BRCWRT, to the address below:
John Edwards -10322 Overton Ford Road - Ethel, LA 70730 Questions? Call John (225) 937 - 2782 8am – 10pm
How did you hear about the symposium? ( ) Newspaper, ( ) Facebook, ( ) Friend, ( ) Newsletter, ( ) Online Magazine, Other________________________
For Hotel Info - https://www.brcwrt.com/discounted-hotel1.html
Please help us make the symposium a success by spreading the word.