
Download and Mail the Registration Form with Your Payment

SYMPOSIUM REG. FORM.pdf | |
File Size: | 131 kb |
File Type: |
Baton Rouge Civil War Round Table 4th Annual BRCW Symposium Registration
Please print legibly
Name __________________________________________________________________
Address ________________________________________________________________
City ____________________________________State _________Zip _____________
Email_____________________________________________ Phone ______________________
Early Bird, All Weekend Symposium Special Until October, 5, 2021
Meet and Greet, Symposium and Private Sunday Tour, Adults Only - $120.00 Number attending ( ) = $_______
All Weekend Symposium After October, 5, 2021, Adults Only - $135.00 Number attending ( ) = $_______
Full Time Students, Active Military, Police, Fire,Teachers bringing a student $65.00 Number attending ( ) = $_______
Friday night: Speakers Reception - Meet and Greet and Tour, Adults only - $30.00 Number attending ( ) = $_______
Full Time Students, Active Military, Police, Fire,Teachers bringing a student $20.00 Number attending ( ) = $_______
Saturday: Civil War Symposium and Tour Adults only - $105.00 Number attending ( ) = $_______
Full Time Student, Active Military, Police, Fire, Teachers bringing a student $55.00 Number attending ( ) = $_______
Sunday: Lecture and Tour Adults only - $10.00 Number attending ( ) = $_______
Total Number attending ( ) Total = $________
Names of additional attendees and email addresses ___________________________________________________________________________
____________________________________________________________________________________________________________________________________
Register today online at https://www.brcwrt.com/mail-in-registration-form.html or
mail 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________________________
Call 225 937-2782 or go online for Hotel and Merchandise Discounts
Please help us make the symposium a success by spreading the word.