Name(s): Please
put name you wish on your name tag(s).
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Address:______________________________________________________
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Phone:______________________________Email:_____________
I/we plan to arrive on: (check one) :
Thursday July 7______Friday July 8______Saturday July 9______
Checking out on Sunday July 10________ Monday July 11___________
Enclosed is my check for the following:
Administrative Fee of $10 per single or married couple
(Needed to defray administrative expenses) $__10.00
Dinner on Saturday July 9th @ $42 a person $________
** I/we do not eat red meat, please arrange for chicken dinner(s).
Total $__________
I/We cannot attend this year but please keep me on the list. Enclosed is my check for $10 to help with ongoing administrative expenses. All monies go toward the reunions . $_________
Please make check for total amount due, payable to Venezolano/Americano Reunion and send to Fred Hill, 6969 N. Donatello Way, Tucson, AZ 85741-2513 phone: 520-797-0094
email: AzKofa@aol.com
Registration deadline is June 11, 2005
For a registration fee refund, please advise Fred Hill by June 11, 2005
Please make your individual hotel room reservations with the hotel .