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. 

FOR REGISTRATION AND PAYMENT ON LINE, CLICK THE BUTTON BELOW