2013 Registration Form

Contact Information

First MI Last
Preferred Name (if different than above)
Organization or Institution
Street
City State Postal Code
Email
Home or Work Phone Cell Phone

Consultation Information Type of Consultation Desired

General Assistance: Still trying to find village of origin
Research Consult: Records, resources, general consult
Intermediate Consult: Brick Walls, translation, etc.
I do not wish to have a consultation

How many years, including this one, have you attended FEEFHS?

A detailed questionaire will be sent to you with conference registration to assist us in preparing for your consultation request.

Special Requests Reasonable accommodations are available for persons with disabillities or special dietary restrictions.

Requests should be provided no later than July 1^st to assure material preparation and food availability. If you check one of the boxes below, you will receive an additional questionaire by email.

Check this box if you requre special materials, access, or services
Check this box if you have special dietary restrictions

Summary and Checkout

Early-bird (submitted before June 20)	$139
Regular (submitted on or after June 20)	$159
Single Day Registration Includes one day of presentations, syllabus, and consultation.
Wednesday Thursday Friday	$99
Banquet ticket (Friday single–day only)	$27

Optional Events and Extra Tickets
New Participant Orientation, Tuesday	$0
Salt Lake City Tour, Tuesday	$45
JB’s Lunch Package, 3-day, Wed/Thu/Fri	$30
Guest: Reception, Tuesday	$15
Guest: Salt Lake City Tour, Tuesday	$45
Guest: JB’s Lunch Package, 3-day, Wed/Thu/Fri	$30