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** Buxton Museum Address Heading **

History & Genealogy Conference
Registration Form

HOMECOMING

Daily Schedules

Registration Forms

Web Archives

Curator Reports

DAILY SCHEDULES

Registration Cost

(includes conference luncheon & tour of Buxton National Historic Site)
Before August 15th
$40.00
After August 15th
$50.00

Instructions

  • To Register by mail or fax, complete the information below and print the page. Mail or fax the completed application with cheque payable to:

Buxton National Historic Site and Museum
21975 A.D. Shadd Road
North Buxton, Ontario, Canada N0P 1Y0

  • To Register online, complete the information and click the "Send Form" button. You can also pay securely online with Paypal or a credit card. Your application and payments will be acknowledged with a reply e-mail within a few days.

Top of Form

Participant Name

MAILING INFORMATION

Name
Street Address
City/Town
State/Province
Country
Zip/Postcode

CONTACT INFORMATION

Telephone
Email Address

Bottom of Form

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REGISTRATION (before Aug. 15): $40.00
REGISTRATION (after Aug. 15): $50.00

 

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website created July 2008; updated June 2010; by Lori Gardner