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Cornelius O'Brien Conference on Historic Preservation September 24-25, 1999 PLEASE PRINT OR TYPE AND FILL IN ALL APPROPRIATE ITEMS. Name Additional Participan*- Addresq City/State/Zip Day Phone SS# for each participant (Required by the Tax Relief Act of 1997) TOUR: Yes, I plan to attend Number attending No, I won't be attending Number NOT attending MEAL PACKAGES: Full conference (includes opening buffet lunch, banquet on Friday; lunch on Saturday, all breakout refreshments)...... REGISTRATION: Full Conference (Friday & Saturday) •..•......•... $30.00 x people = $ Full Conference—Student.................................... $15.00 x people = $ Friday Program Only .... $20.00 x, people = $ Friday Program—Student .................................... $10.00 x people = $ Saturday Program Only •••••..•••••.••••••.............••.••• $20.00 x people = $ Saturday Program—Student .................. .....•....•• $10.00 x people = $ TOUR: Yes, I plan to attend Number attending No, I won't be attending Number NOT attending MEAL PACKAGES: Full conference (includes opening buffet lunch, banquet on Friday; lunch on Saturday, all breakout refreshments)...... $60.00 x people =$ ❑ Vegetarian Friday meals only (includes opening buffet lunch, banquet, and breakout refreshments) .......................................... $40.00 x people = $ ❑ Vegetarian Saturday meals only (includes buffet lunch and breakout refreshments) ................................... $20.00 x people = $ ❑ Vegetarian Saturday breakfast, Indiana Alliance of Historic District Commissions (NO ON-SITE Registrations accepted) ................. $10.00 people = $ Closing reception (Limited aaailabilit}t —first-served basis) $15.00 x people = $ TOTAL ENCLOSED = $ SEE REVERSE SIDE FOR PAYMENT OPTIONS.