Polish Genealogical Society of America®

Saturday, September 24, 2016

Genealogy Workshop

The Polish Genealogical Society of America® is a registered Illinois Not-for-Profit Corporation; an IRS registered 501(c)(3) educational organization.

One registrant name per form; duplicate form as needed;

mail-in or PDF electronic registration only. (To avoid added fees, there will be no online registration.)

Name: (please print)

PGSA member # Address City State Zip Code Phone number (if PGSA needs to contact you) Email (to send confirmation, and pre-workshop forms/info) Email addresses are kept private; not sold or shared

How did you learn about this Workshop?

What language(s), other than English, might your family research include? _____________________________________ (Polish, German, Russian, Italian, French, Spanish, Greek, Arabic, Korean, Japanese, Chinese, other - please name)

One-on-one Polish, German, and Russian document translation help will be available, in 15-minute segments between sessions and during Round Table Discussions. (We are working towards finding translators for other languages.) ❒ Check here if you wish to sign up for a segment and indicate document(s) language(s). _________________________

Please – register by midnight Sunday, September 18, 2016 – so we know how many to set up for.

Please, no children under the age of 12 years.

Everyone must register, even if his or her admission is free.

Student (with school ID)* ❒ free * Taft Students/Parents and Faculty can submit registration forms to Polish Club Coordinators – Ms. Stanislawa Stasica, Ms. Grazyna Zymslowski,

Ms. Margaret Niedziela; or email/USPS mail to Margie LaCerra at address below. Faculty (with school ID)* ❒ free

Parent ❒ $20 All others, please email/USPS mail to Margie LaCerra at address below.

Community Resident ❒ $20 Taft Concessions Committee will be offering hot dogs, snacks, beverages, etc. CHECK the PGSA website for more information on menu items. To help the student concession business plan ahead, do you:

❒ Plan to purchase lunch ❒ Plan to bring your own lunch

Genealogist ❒ $20

PGSA Member ❒ $20

Amount due this registration form: $

Per mailed envelope: Multiple registration forms and one check or credit card charge is acceptable.

Per email: Multiple attached PDF registration forms and one credit card charge is acceptable.

Amount due additional registration forms: $ Total amount submitted (check or charge): $

Workshop CHECK-IN – School doors will open at 9:30AM on Saturday, September 24, 2016.

To pay by credit card, enter your card info below. PGSA accepts: ❒ Discover ❒ MasterCard ❒ Visa (check one)

Name as it appears on credit card Card number from front Expiration Date 3-digit CVV2/CID Address where billing is sent City State Zip code

Mail registration form(s) with check (made payable to PGS of America) or credit card info to: Margie LaCerra, 211 Gillick Street, Park Ridge, IL 60068-4929 email: pgsaworkshop@pgsa.org

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