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2009 Schedule of  Reunion Events
2009 Reunion Hosts & Committee
2009 - Registration Form
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Update-2008 WrapUP Meeting
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 I. Participation Information 

Name___________________________________________________________

Address_________________________________________________________
City ______________________________ State _____  Zip Code _________

Phone (including Area Code) ____________   Email_____________________

Name ______________________ Circle-one (spouse, son, daughter, mother, father) Age ______

Name ______________________ Circle-one (spouse, son, daughter, mother, father) Age ______

Name ______________________ Circle-one (spouse, son, daughter, mother, father) Age ______

II. Weekend Registration Section

Events                # of Persons x Price = Cost       Subtotal for each Event
• Concert and Dance  _________ x $16.00 = ________             _________

• Meet and Greet       _________ x $ 5.00 = ________              _________

• Friday Tours - Slave Haven Museum Tour and Council and Jack Nash, AR 
     . 18 year old to Adult ______ x $17.00  =   _________         _________
     . 4-17 years            _______ x $15.00 =    _________         _________
                          
• Saturday Tour -Civil Rights Museum and Al Green Church

      . 18 year old to Adult _______ x $24.00 = _________         ________   
       . 4-17 years            _______ x $20.00 = _________         ________
                              
• Banquet: 
      . 12 year old to Adult _______ x $32.00 = _________         _________
      . 5-11 years             _______ x $17.00 = _________         _________
                        
• Picnic 
      . 12 year old to Adult _______ x $10.00 =  ________          _________ 
      . 5-11 years             _______ x $ 7.00 =   ________          _________
                        
• Tee Shirts 
 . Small___ Medium___ Large___ X Large___ $10   2XL___ 3XL___ $12 ____ 

                                                                             Subtotal _______
 
 Annual dues are $25.00 per family (A family is considered head of household and dependents claimed on tax form). $25.00 for dues will be taken off of the top of any amount you send in and you may still have a balance due whatever Reunion activities you want to participate in. If you have already paid your 2009 dues-THANKS!!! 

                                                                     Annual Dues $ _______

                                                                  Total Enclosed $ _______
Signature: _______________________________________________ 

Please mail Registration Form and your payment by March 7, 2009 to:
Juanita Harmon 1645 N. Rutherford, Chicago, IL 60707 

                         









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