48th Annual Lafourche Heritage Society Luncheon & Genealogy Seminar
Please fill out this form to register for the event. You may purchase up to 4 tickets for the seminar. Price is $40 per person + $2 convenience fee for online registration.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Number of Tickets
*
prev
next
( X )
Ticket
Select the number of individuals you are registering, includes ticket + lunch.
$42.00
$
42.00
Quantity
1
2
3
4
Item subtotal:
$0.00
$
0.00
Name Badge #1
*
First Name
Last Name
Name Badge #2 (if needed)
First Name
Last Name
Name Badge #3 (if needed)
First Name
Last Name
Name Badge #4 (if needed)
First Name
Last Name
Register
Should be Empty: