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CHICAGO DAY

Registration Form

 

WEDNESDAY DECEMBER 10th , 2003

$ 55.00 per person

Hurry ...Seats are limited!

Send your reservations in for yourself, spouse, and friends

to guarantee seats on the bus.

 

Enter the name and numbers below, for those you are registering for the Chicago Tour.
Then print this page and send it along with your check to the address below.

 

Your Name : Phone # :
$55
       
Guests Name : Phone # :
$110
       
Guests Name : Phone # :
$165

 

Check and Payment Information

Check Amount: $55.00 (per person)
Payable To: Ron Frank - IUPUI Sr. Acad
Mail To:

Ron Frank - 944 W 72nd St, Ind, IN 46260-4035
Questions: Ron - 317.251.7854 or Aristea - 317.823.6282
Deadline: We must receive checks by November 12th
Refunds: On or before November 13th

 

This will be a Fun Tour !

Please ask your Friends and Associates to go with Us!

SEE YOU ON THE BUS

 

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