Download and Mail the Registration Form with Your Payment
| 2021_br_symposium__reg_form_7.23.pdf |
Baton Rouge Civil War Round Table 4th Annual BRCW Symposium Registration
Please print legibly
Name __________________________________________________________________
Address ________________________________________________________________
City ____________________________________State _________Zip _____________
Email_____________________________________________ Phone ______________________
Early Bird, Weekend Symposium Special Until October 22
Reception, Symposium and Private Tour, $115.00 Number attending ( ) = $_______
Weekend Symposium After October 22, 2021, $125.00 Number attending ( ) = $_______
Saturday/Sunday: Symposium and Tour Only After October 22 $110.00 Number attending ( ) = $_______
Full Time Students, First responders, Military $75.00 Number attending ( ) = $_______
Total Number attending ( ) Total = $______
Names of additional attendees and email addresses ___________________________________________________________________________
__________________________________________________________________________________________________________________________________
Register Online Today https://www.brcwrt.com/online-registration.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________________________
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, Weekend Symposium Special Until October 22
Reception, Symposium and Private Tour, $115.00 Number attending ( ) = $_______
Weekend Symposium After October 22, 2021, $125.00 Number attending ( ) = $_______
Saturday/Sunday: Symposium and Tour Only After October 22 $110.00 Number attending ( ) = $_______
Full Time Students, First responders, Military $75.00 Number attending ( ) = $_______
Total Number attending ( ) Total = $______
Names of additional attendees and email addresses ___________________________________________________________________________
__________________________________________________________________________________________________________________________________
Register Online Today https://www.brcwrt.com/online-registration.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________________________
For Hotel Info - https://www.brcwrt.com/discounted-hotel1.html
Please help us make the symposium a success by spreading the word.