Genealogical Society of Hispanic America 2015 Annual Meeting and Conference Registration Form June 5-7, 2015 Drury Plaza Hotel, Santa Fe, New Mexico Mujeres Memorables del Mundo Hispano Memorable Women of the Hispanic World NAME: SPOUSE/OTHER: ADDRESS: CITY: STATE: EMAIL: PHONE/CELL: CHAPTER AFFLIATIONS: SC OTHER AFFLIATIONS: OLTHLRC FACC CSHG ZIP: MAL HGRC NMGS OTHER RESERVATIONS: Call 1-800-325-0720 and refer to Group number 2230198 for reservations at the Drury Plaza Hotel in Santa Fe, New Mexico. If asked, say that you are attending the Genealogical Society of Hispanic America conference. You may also go to www.druryhotels.com, then enter the group number, 2230198. To find out more about the Drury Hotel in Santa Fe, visit their website http://druryplazasantafe.com/index.html for additional information. The $109 guest room rate will be extended two days prior and two days after conference dates of June 5 – 7 based on availability. Rooms must be reserved by MAY 22, 2015. Description Cost per Person (Cut-off date for registration is MAY 22, 2015) Registration cap is 175 Attendees. 3-Day Full Conference Package – GSHA members $120 3-Day Full Conference Package – non-GSHA members $180 Saturday Conference only $100 Sunday Conference only $50 President’s Reception ONLY (Friday night) $30 Annual Banquet ONLY (Saturday night) $60 (Includes President’s Reception and Annual Banquet) (Includes President’s Reception and Annual Banquet) (Includes President’s Reception and Annual Banquet) Number of Attendees Fee Subtotal (No President’s Reception, no Annual Banquet) If your spouse/family member/other does not want a full conference package, you may also pay for individual events/activities as follows: On-Site Registration: Saturday Conference only $50 Sunday Conference only $50 (no President’s Reception, no Annual Banquet) (no President’s Reception, no Annual Banquet) GSHA membership upgrade* (Family/Senior Family)** $5 I want to make a donation to help defray costs. Include amount on this line. Gracias! This is very much appreciated. Your generosity helps defray some costs and allows us to upgrade several activities. GSHA is a 501(c) (3) non-profit organization, Federal ID 74-2512579. Your donation may be tax deductible. Total Conference Fees Enclosed: *If you are not a member of GSHA or one of its chapters and want to take advantage of the discounted member fee, complete the membership form found on our website (www.gsha.net) and submit it along with the application fee and your conference registration fee. **If you are a member but do not have a Family/Senior Family membership and a spouse/family member is registering for the conference, the spouse/family member is considered a “Non-member”. To benefit from the GSHA Family/Senior Family member discount for your non-member spouse/family member, simply upgrade by including an additional $5 with your conference fees. (Continued on reverse side) 1 Genealogical Society of Hispanic America 2015 Annual Meeting and Conference Registration Form (continued) June 5-7, 2015 Drury Plaza Hotel, Santa Fe, New Mexico Conference Refund Policy: Certain commitments are made for the purchase of meals, entertainment, etc., which must be paid as a cost of presenting the conference. Due to these commitments, partial refunds may be made at the discretion of the conference team only in the event of serious illness or family emergencies. We appreciate your understanding Conference Activities Will you bring charts, photos, etc. for networking activities? Yes No Do you plan to conduct research before and/or after the conference? If so, where? Would you like to be in contact with fellow conference participants to coordinate travel? Yes No If you live in Santa Fe or Albuquerque, are you willing to help us transport a few attendees from the airport to the hotel and back to the airport or even one way? Yes_____ No______ If your answer is yes, a committee member will call you to coordinate our needs. Conference Network Roster I want my name, phone and/or e-mail (circle one or both) on a Conference Network Roster Yes List up to six surnames/localities/time frames you are researching to be printed in the roster: 1. 2. 3. 4. 5. 6. No Please check the GSHA Noticias newsletters, the GSHA website (www.gsha.net), the GSHA FaceBook group page for relevant and updated information about the conference. Please note that Registration Cap is 175 Attendees. Mail-in registration deadline: MAY 22, 2015. If you wish to register after MAY 22, 2015, please call or e-mail Frank Dominguez. Mail your registration to Frank Dominguez as follows: Frank Dominguez, GSHA Registration, 539 Wapola Court, Loveland, CO 80537. You may contact Frank at kikodoming@aol.com or 970.290.2934 and let him know that your registration is in the mail. 2
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