Pre-Registration
Form
Baltimore Mineral
Society
2008 – Paul
Desautels Micromount Symposium
Name(s) ____________________________________________
Address ____________________________________________
City __________________________State_______Zip_______
_______ Symposium Registration ($25.00 / person) ________
Total _________
Please make checks payable to the Baltimore Mineral Society.
Send completed form to : Robert Hudgins
6713 Balmoral Overlook
New Market, MD 21774