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Class of 1976 Gallaudet University


  Last Updated: October 10, 2011  

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Online Gally 76 Banquet Registration





Online 35th Anniversary Gally 1976 Reunion Dinner Registration



Combo Rates:
Last Chance... $76...
Only Reunion Dinner Cost:
Last Chance... $35...
postmarked by October 15, 2011

Place: at Sorenson Language and Communication Center (SLCC) Atrium
Date: October 22, 2011
Time: 5:30PM  - 35th Anniversary Reunion Dinner

Combo Package Cost: $76 per person includes Friday night Pre-Game Bash, Class Reunion Photo, Homecoming Football Game Admission and Reunion Dinner.
Only Reunion Dinner Cost: $35


If you wish to pay by check, please fill out and print this registration form then submitting this so you can mail with your check and a copy of this form. Mail form and check/money order payment to:
Don Ames
Banquet Registration
5902 Ridge Ford Drive
Burke, VA 22015-3645

Confirmation


We will send you a confirmation email once we receive and process your payments. You are required to present your drivers license or State Accepted ID card to pick up your badge at the registration booth.

Last Name:
First Name:
Middle Name:
Street:
City:
State:
Zip:
Email Address:
Pager:
Videophone Number:
Number of Guests:
Costs:
Donations:
totals:
Comment:


NOTE: A refund of fees for $5 processing fee will be made on written request at lowenv@yahoo.com. Request for refund must be received prior to September 30th, 2011. No cancellations will be accepted after September 30, 2011.


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