Francis Scott Key Auditorium, St. John's College

Please complete a separate registration form for each participant 

Name:________________________________________________________________________
 

USM Member (or other) Organization_____________________________________________
 

Street  Address ________________________________________________________________

City/State/ZIP CODE__________________________________________________________
 

Telephone:_______________________________   Fax: _______________________________
 

Email:________________________________________________________________________ 

Fee is $15.00 per person in advance of the rally ($17.00 on site).  Early registration is requested. Space is limited.  Registration is by:

                                                 Check(s) made out to:  United Seniors of Maryland.  Send registration form(s) and check(s) to                                                                                                     Charles Culbertson, President, USM, 412 Carolina Road, Towson, MD 21204-4315.  

                                                By Credit Card(s).  For on-line registration, go to www.unitedsrsofmd.org. 

For inquires, contact Charlie Culbertson at (410-823-6432): or David Waugh at E-mail: drdwaugh@aol.com

 ALL DAY PARKING IS AVAILABLE AT THE NAVY MARINE CORPS STADIUM.  ENTER THROUGH PARKING GATE OFF TAYLOR AVENUE. SHUTTLE SERVICE TO THE RALLY AND RETURN WILL BE PROVIDED.