Historical Harp Society Conference - July 15-17, 2005
Circle as Appropriate Below:
□ Conference Attendance, Saturday Only $50
□ Conference Attendance, Sunday Only $20
□ Conference Attendance, Entire Conference $70
□ Send Housing Form for Conference -----
□ Renew or Extend Membership $25
□ Gift/Contribution $_____
Please send this form with a check payable to Historical Harp Society:
mail to Jean Humphrey, 631
North 3rd Avenue, St. Charles, IL, 60174
as early as possible, and before July 8, 2005.
Questions: or Jean or Anne Humphrey at 630-584-5259.
(use your browser File/Print menu option to print this page,
then fill it out and mail it to the registrar with appropriate payment.)