Bluebird Society of Pennsylvania

18th Annual BSP Conference Registration Form
April 8 & 9, 2016, Holiday Inn Harrisburg/Hershey, Grantville, PA


Registration fee includes Friday Night Social and continental breakfast, luncheon, conference programs and activities on Saturday. Group lodging rates of $119.00 per night plus tax are available if you mention the Bluebird Society. Attendees will contact the hotel reservations department directly to make their own guest room arrangements at Holiday Inn. Guarantee your reservation by sending one night’s deposit or giving an accepted credit card number. Please call the hotel’s reservation department at 1 (877) 410-6667 and make reference to our conference. The BSP Conference is open to the general public.

Registration Cut off date - This form must be post marked no later than April 1, 2016 to qualify as a pre-registered attendee. Walk-in participants will be charged a conference fee of $25.00 per person and the continental breakfast and luncheon buffet will not be included in this price as the hotel needs prior notice for food planning. You must have a pre-registered name tag to participate in all meal functions.
#____person(s) Early-bird Special (before March 4, 2016) @ $30.00ea = $______
#____person(s) Regular Registration (after March 4, 2016) @ $35.00ea = $______
Total Conference Amount: $______
Other Payment(s): For______Amount $______
Please list each person who will attend, and issue separate checks for Conference Registration and
other payments (such as Raffle tickets, BSP Membership, Renewals, and Conference Donations)
Send this Form and Check (s) to the Bluebird Society of Pennsylvania PO Box 756 Mechanicsburg, PA 17055
Name:______BSP position______Address:______
City: ______County:______State:______Zip Code: ______
Phone:______E-Mail Address:______(optional)
Name:______BSP position______
Address:______
City: ______County:______State:______Zip Code: ______
Phone:______E-Mail Address:______(optional)
Please help support our BSP Conference
Will you be donating an item for the BSP Auction? Yes_____ No_____
If so, item______Delivery method:
___ Mail the item to: Joan Watroba 2408 Bumblebee Hollow Road Mechanicsburg, Pa. 17055
___ Bringing item to conference
___ Other Monetary Conference Donation Amount $______
Are you attending the Friday night social/program? Yes____ No____
Would you like to volunteer at the conference? Yes____ No ___
For more information, visit www.thebsp.org or email the Conference Coordinator Philip Durgin, or (717) 732-5325, or Conference Co-Coordinator Nancy Putt at