Retirement
Party RSVP Form
Please
complete this RSVP form and submit it by July 2, 2011.
Royal Palace Banquet
Hall
6254
W. 111th St.
Chicago Ridge, IL 60415
Thursday, July 21, 2011
6:30 p.m. – 11:30 p.m.
Barbara
Shegog, Ph.D.
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| First Name: |
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| Last Name: |
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| Email Address: |
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Do you plan to attend the celebration?: |
Yes, I will attend.
Maybe, I will contact you
Regrets, I will not be able to attend.
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
(xxx) xxx-xxxx |
| Number of Tickets
@ $35.00 per ticket |
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| Number of Tickets
@ 20.00 per ticket (Age 4-10) |
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| Number of Tickets
- Age 3 and under (free) |
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Relationship to Dr. Barbara Shegog - (Select all that apply): |
Family Member
Former Colleague
Former Classmate
Associate - Member of Same Org.
Former Student
Other
(Select all that apply). |
| Questions or Comments:: |
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Please
mail check or M.O., made payable to Inetra Langley,
to 5223 Bloomsbury Lane, Matteson, IL 60443 by July
9, 2011. P
Please
email any photos or memoirs to: ttechangela@yahoo.com.
Questions or Comments? Call (708)
872-0527
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