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Preferred Title

First Name *

Middle Initial

Last Name *

Mailing Address *

City *

State *

Zip Code *

E-Mail Address *

Phone Number *

Check all that apply


	Museum Member
	Friend of the Monitor
	Lincoln Forum Member
	Descendant of the crews and builders of the USS Monitor or the CSS Virginia

Enter all that apply

Weekend Registration
(Does not include bus tour and dinner.)

Members - $175

Number attending:

Non-Members - $185

Number attending:

Guided Bus Tour and Dinner at the Riverwalk Restaurant - Learn More

Members - $85

Number attending:

Non-Members - $95

Number attending:

I would like to purchase a Family Membership - $75
Includes discounted registration fee, 10% Museum Shop and Compass Cafe discounts, and free admission to the Museum for one year for two adults and all children under 18 living at the same address. Additional membership options are available; call (757) 591-7715 for details.

Please enter the name of each additional person to be included in this registration: