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Registration Form1

The document announces a neighborhood and class reunion to take place from July 25-28, 2013 at the Tuscany Hotel and Casino in Las Vegas. It provides contact information for core organizers and committee members to register for the reunion which includes welcome materials, meals, and evening events. A registration form collects attendees' names and details, t-shirt sizes, payment amounts and methods. Special needs accommodations are also requested.

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2013Rileymarkhamreunion
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39 views1 page

Registration Form1

The document announces a neighborhood and class reunion to take place from July 25-28, 2013 at the Tuscany Hotel and Casino in Las Vegas. It provides contact information for core organizers and committee members to register for the reunion which includes welcome materials, meals, and evening events. A registration form collects attendees' names and details, t-shirt sizes, payment amounts and methods. Special needs accommodations are also requested.

Uploaded by

2013Rileymarkhamreunion
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LETS DO IT AGAIN!

RileyMarkham 2nd Neighborhood and Class Reunion


Thursday, July 25, 2013 through Sunday, July 28, 2013
Tuscany Hotel and Casino
255 East Flamingo Road Las Vegas, NV 89169
Hotel: (702) 997-5150

Toll Free Reservations: (877) 887-2261

Bringing Together Family, Community and Hearts!


CORE ORGANIZERS and CONTACTS:
Janet (Collier) Bahsoon
Monica Longmire
Andrella (Maten) Opbe
(214) 315-3223
(708) 446-6058
(405) 923-1199
[email protected]
[email protected]
[email protected]

COMMITTEE MEMBERS:
Cecil Clark
Brent Dozier
(708) 935-4292
(214) 460-6083
[email protected]

REGISTRATION FORM
First Name: ______________________________ Last___________________________ (Maiden/Nick name) _________________
Name as you would like it to appear on badge:_____________________________________________________________________
Preferred Mailing Address:_____________________________________________________________________________________
City: ________________________________ State: _______________________________ Zip/Postal Code: ___________________
Telephone: (______)____________________ Cell: (______)_____________________ Alternative: (_____)___________________
Email: ____________________________________________________________________________________________________
1.

Registration Fee (Money Order or Cashiers Check):Welcome Packet, 1 T-Shirt, 2 Full Banquet Dinners, 2 Evening Events & Farewell Brunch
(Hotel Accommodations and Airfare not included)

PLEASE CHECK:

BEFORE/ON

POSTMARKED & PAID


AFTER OCTOBER 31, 2012

OCTOBER 31, 2012

Yes! Include me for ALL!

$140

$160

$ ___________

PER EVENT ONLY (Event and Meal)

$50

$70

$ ___________

2.

Men T-Shirts (Size and Quantity): Medium ___ Large ______ X- Large ____ XX Large____ XXX Large _____

$ ___________

3.

Ladies T-Shirts: (Size and Quantity): Medium ___ Large ____ X- Large ____ XX Large____ XXX Large _____

$ ___________

TOTAL ENCLOSED:

$ __________

4. Please mail completed registration form with payment to: Monica Longmire 55 East 156th St. Harvey, IL 60426
IMPORTANT: ALL REGISTRATIONS MUST BE PAID IN FULL PRIOR TO MARCH 31, 2013
PAYMENT METHOD: Payments can be made in NO MORE than three (3) equal payments PRIOR to Wednesday, October 31, 2012. Make
Cashier/Personal check or Money Order funds payable to: Riley/Markham Reunion. Registration confirmation/receipt and further information will
be mailed.
Cancellations/Refunds Policy: Please consider your attendance and participation in the Reunion carefully. All Reunion expenses are paid in
advance; therefore all registration fees are non-refundable. Event and meals schedules will be sent out prior to July 31, 2012 and can be provided by
contacting any Core Organizer named above.

ADA Compliance: In an effort to inform the Hotel in advance, please list any ADA special needs: _________________________________________

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