Civil War Seminar Registration Form

Jine The Cavalry:
The US and CSA in the Civil War

 

To register for the Civil War Seminar, please print, complete and mail to:
 Liberty University Civil War Seminar, Attn: History Dept.,
1971 University Blvd., Lynchburg, Virginia 24502.

 

 

Name ___________________________________________________________________________ 

Address _________________________________________________________________________

 

Phone __________________________ Email ___________________________________________

 

Cost is $60.00 until March 1st, between March 2nd and March 23rd $65.00, after March 24th $75.00.

Cost for Friday only, admission and meal, is $35. Cost for Saturday only,  admission and meals, is $40.

If joining us for Friday night's Banquet, please specify which meal you would like.

                      Seafood _____________      Beef ______________      Vegetarian _____________

Please specify the amount enclosed ____________________ How many people? ______________  

Circle one:    Cash      Check      Credit Card---Which card? _______________________________

 

Name (as listed on credit card) _______________________________________________________

 

Card # __________________________________________________   Exp. Date ______________

   

 

Signature _________________________________________________________________________