Florida Chapter of the Ohio Genealogical Society

2010 Annual Conference Registration Form

19-20 February 2010
Leesburg Public Library
Leesburg, Florida

Featured Speaker
Debra S. Fleming

Select One: I have paid my FCOGS 2010 Dues. ( ) $35.00 I am a FCOGS Life Member. ( ) $35.00 I am including my 2010 Dues. ( ) $47 Single or ( ) $50 Joint only 1 attending conference We are including our 2010 Dues. ( ) $85.00 both attending conference I am not a FCOGS member. ( ) $45.00 I am enclosing my check, in the amount of _______, for the Florida Chapter OGS 26th Annual Conference in Leesbur, Florida. This fee covers the conference and Saturday’s lunch. Name: _______________________________________________________ Address: _____________________________________________________ City, State, and Zip: ____________________________________________ E-mail: ______________________________________________________ 3 Ohio Counties I am Researching: ________________________________ 3 Ohio Surnames I am Researching: _______________________________ Saturday’s lunch will be boxed lunches from Honey Baked Ham. Lunch Choices: ___ ham sandwich, ___ turkey sandwich, or ___ roast beef sandwich ___ chips, ___ potato salad, or ___ mandarin pineapple dream salad ___ cookie or ___ brownie ___ Coke ___ Diet Coke Mail to: Florida Chapter OGS c/o Leslie Harper 426 SE 28 Loop Melrose, FL 32666-5324