The Cold War Museum - Lectures & Presentations Online Sign Up Form

Name:

Title:

School or Affiliation if any:

Address (street, city, zip):

Telephone:

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Select the button below which indicates from whom you received your invitation. If you are unsure, look under the address on your postcard invitation for the indicating letter - A, B, C, or D.

A - Embassy of Poland B - Embassy of Hungary/Hungarian American Federation C - The Cold War Museum D - FCEDA FCPS Other

LUNCH (please select)

Chef Salad and Roll Fried Chicken, Baked Beans, Potato Salad, Biscuit

SPECIAL NEEDS
Please specify if you have special needs e.g. physical restrictions, dietary requirements:

CONFERENCE FEES:
The Conference Fee is $40. Payment covers conference program, full access to all panels, continental breakfast and lunch.

PAYMENT
PayPal - Log into your account and send payment to .
Check - Please make checks payable to The Cold War Museum and send them to the address below.
Credit Card - We accept credit cards through our secure PayPal service. A $2.00 transaction fee will be added to the total.
Other - Selecting this option requires Museum confirmation. Please contact us at .

I wish The Cold War Museum to reserve me a place for the conference Cold War Conversations: The Uprisings and Revolutions of 1956, and I will send my payment details as outlined above.

If you have a PayPal account, electronic submission to is preferred, however, all guests may use the address below when paying by check or fax their credit card information to the number provided.

Mr. Francis Gary Powers, Jr.
Director
The Cold War Museum
P.O. Box 178
Fairfax, VA 22038
703-273-2381
703-273-4903 (fax)

Inquiries relating to the organization of the conference should be sent to Mr. Francis Gary Powers, Jr.

Conference Home
Additional Conference Info
Conference Agenda
Directions to South County