REGISTRATION FORM

15th Annual Norlands Humanities Conference
Thursday, Friday and Saturday
June 5, 6, 7, 2008

Location: Washburn Memorial Library
at Washburn Norlands Living History Center
290 Norlands Road, Livermore, ME

Please complete this form and return immediately to:

Billie Gammon
42 Hathaway Hill Road
Livermore, ME 04253
E-mail: egammon@exploremaine.com
Phone: (207) 897-2236

Please check meals and total amount enclosed:

Registration fee                 $15.00

(  ) Thursday, June 5 - Dinner        $12.00
(  ) Friday, June 6 - Luncheon        $ 9.00
(  ) Friday, June 6, Dinner              $12.00
(  ) Saturday, June 7 - Luncheon    $ 9.00

                       TOTAL ENCLOSED    $______

Please make checks payable to: Washburn Norlands Foundation

Name: _______________________________

Address: _____________________________

Home PH: _________ Work PH: _________

E-mail: ______________________________