Annual Meeting Registration - The Gombin Society

First Name *

Last Name *

Email *

Phone # *

Street Address *

City *

State *

Zip *

Total Number Attending

Names of people attending

Please check which Activities below you would like to attend. After selecting the activity please add the names of the participants in the box that appears under the activity.

Dinner on Friday evening

Dinner on Friday evening - pay for your own meal

Who is attending (Dinner on Friday evening)

Dinner on Saturday evening

Dinner on Saturday evening - pay for your own meal

Who is attending (Dinner on Saturday evening)

A talk about DNA

A talk about DNA, the different types of tests and platforms, and how they can be helpful - no charge (Sunday Morning)

Who is attending (A talk about DNA)

Family Photo Scanning

Bringing your family photos to be scanned - no charge, but it will be helpful to anticipate the number of people interested in this

Who is attending (Family Photo Scanning)

Payment Method *

Credit/Debit Card or PayPal

Mail a Check

Suggested Meeting Fee: $100/person

$

We want you to come. If this causes a hardship, pay what you can. All contributions large and small are greatly appreciated.

Upon Submission of this Registration form, your browser will redirect you to PayPal, where you can pay with a Credit/Debit Card or a PayPal account.

Event Fee Options

$100/person covers morning coffee, lunch (Kosher), meeting logistics.
$36/additional family members and younger Gombiners under the age of 40

Upon Submission of this Registration form, please enclose your Personal Check or Money Order to:

Marlene Rifkin
933 N. Patterson Ave.
Santa Barbara CA 93111