

Please print this form and mail to the Virginia Historical Society.

Name(s)
 Address
 City/State/Zip
 Phone
Email
National Museum of the Marine Corps
Please register ____ VHS Members - $75
The Mariners' Museum
Please register ____ VHS Members - $75
Payment information:
Enclosed is my check for $ _____________
Credit card no. _____________________________________ exp. _________
Signature (for credit card only): ______________________________________
For information:
Contact Kelly Winters at 804.342.9658, or email kwinters@vahistorical.org.
No telephone reservations, please. Sorry, no refunds. The VHS accepts Visa, Mastercard, Discover, and American Express.
Send checks payable to: Virginia Historical Society, Attn: Kelly Winters, P.O. Box 7311, Richmond, VA 23221-0311

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