2021 CAMP Conference Registration Form (PayPal) Council on America’s Military Past 54thAnnual Military History Conference Charleston, South Carolina October 12-15, 2021(October 16 Add-on Day) Registration Form PayPal Form - Contact Information We are excited to have you attend. Please return this form with your payment by September 1, 2021 to: CAMP Conference c/o Bridget Hart 2 Evening Tide Way, Bluffton, SC 29910 Late registrations or those received without payment cannot be guaranteed. Full refund, less the amount of the registration fee, will be made if cancellation is received by September 15, 2021. Questions? Email CAMPUSA1966@gmail.com or call/text Bridget Hart at 240-672-6844. LIABILITY WAIVER: In registering for this meeting, I understand that no liability is assumed for accident or injury by the Council on America's Military Past or any federal, state, county, city or other government or its agencies, the sponsors or co-sponsors of this conference, or the sites or locations to be visited, but that this waiver affects in no way the standard liability assumed by public carriers or places of business. Signature * Note on Electronic Signatures. If this Agreement has been signed with an electronic signature the parties hereto consent and agree to the use of such electronic signature with respect to this Agreement pursuant to the Electronic Commerce Act 2000, S.O. 2000, c17 as amended from time to time. Name(s) (EXACTLY as appears on driver's license or other ID) * No. in party: * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Email Address * Phone (home) * Phone (mobile) Lodging: I will be staying at: * conference hotel (please make arrangements directly with DoubleTree by Hilton Charleston Mount Pleasant 843-352-5100, mention CAMP Conference for discounted rate) OR Hotel Name Submit If you are human, leave this field blank.