REGISTRATION FORM
Maryland State Day—2008

REGISTRATIONS WILL NOT BE ACCEPTED BEFORE OCTOBER 1, 2007.

Any registrations postmarked prior to October 1, 2007 will be returned

To register, please complete the form below. Space is limited to 100 participants

Name: __________________________________________________________

Address: _________________________________________________________

City: _______________________________State: __________ Zip: __________

Phone number (Day): ___________________ (Evening):___________________

E-mail address: ___________________________________________________

Saturday workshop $80.00 Friday night roundtables $5.00

Total amount enclosed_______________

Please list any special needs or dietary restrictions:

_______________________________________________________________

Mail your check, payable to Romaine Eyler, and this registration form no earlier than October 1, 2007 to:

Maryland State Day
Romaine Eyler
550 East Nicodemus Road
Westminster, MD 21157