Mail-in Registration form

Using Genline workshop
Carl Sandburg College
Galesburg, Illinois

8-9 March 2007
9:00-3:30 each day

Name:______________________________________________

Address: ____________________________________________

City/State/Zip: ________________________________________

Phone: _________________________________________

Email address: _________________________________________

If registering by mail, make check for $75 payable to Carl Sandburg College.
Mail to:

Michael John Neill
Genline Workshop
Carl Sandburg College
2400 Tom L. Wilson Blvd.
Galesburg, IL 71401

Thanks!