Gene-O-Rama 2004 Registration Form

March 26-27, 2004

Surname ________________________ Given name & initial________________________

Address ____________________________ City\Town ____________________________

Prov./State ___________________ Postal/Zip Code ___________________________

Telephone (______)______-_________

E-mail __________________________ Name for Badge _______________________

Fee Calculator

1. Registration

Before March 5, 2004 ($30.00) $__________
After March 5, 2004 and at the door($35.00) $__________

2. Meals

Boxed Lunch (must be ordered by March 5) ($6.50) $__________

3. Banquet

Tickets must be ordered by March 5 ($32.00) $__________

Total Enclosed

$__________

Please make cheque or money order payable to:

Ottawa Branch Ontario Genealogy Society

Send cheque or money order along with completed registration form to:

GENE-O-RAMA
c/o 20 Glacier Street
Ottawa, ON K2J 2N1


The Gene-O-Rama Committee reserves the right to alter the programme as needed.

For more information call: 613-824-1942 or E-mail
No refunds after March 19, 2004