One person to each application form please

Mark with X_____ For Seminar and Syllabus ($25 per each person, Check enclosed)

Mark with X_____ For Seminar ONLY ($7 per each person, Check enclosed)

Please Print Clearly

Full Name:_____________________________________ Phone: (_____) _____-__________

Street Address:_____________________________ City:_______________ Zip:___________

Please refer to http://cccgs.org/annual.htm for the class schedule

Classes

1)______

9:15

2)______

10:30

3)______

11:45

4)______

1:00

5)______

2:15

6)______

3:30

Registration deadline is SEPTEMBER 30, 2007 to guarantee a syllabus

NO REFUND AFTER OCTOBER 1, 2007

Make checks payable to CONCORD FAMILY HISTORY CENTER

Send this form and check to:

Concord Family History Center

C/O Jackie Hein

2129 North 6th Street

Concord, CA 94519