NGWRC 2010 Reunion

Gulf War Veterans 20 Year Reunion

Registration Form
Fill out the below form, print it and mail with payment to:

NGWRC,

2611 SW 17th St.

Topeka KS 66604

Payment must be received by 7-15-2010.

You can register on line for the reunion up until August 1st.

Please make your check or money order payable to "NGWRC." You may also pay for the events at: http://tinyurl.com/yz57l3u Mail this page and payment to: NGWRC, 2611 SW 17th St. Topeka KS 66604. Thank you for pre-registering!

* First Name

* Last Name

Title

* Address 1

Address 2

* City

* State

* Postal Code

* Home Phone

* Cell Phone

Fax

* Email Address

* Include my contact information on lists distributed to other attendees. Select "yes" if you plan to share lodging or carpool arrangements.

Yes

* Days Attending. Please confirm/check the days you will be attending.

Thursday (Aug 5)

Friday (Aug 6)

Saturday (Aug 7)

Sunday (Aug 8)

AGENDA:

Medical Research and Treatment (Dr Haley)
Needed Legislation
Networking
Open Discussion

* Meal Preference

	COSTS AFTER 6-30-2010 (ADD $5.00 TO EACH COST)
NUMBER OF GUESTS IN YOUR PARTY
COST OF REGISTRATION ON OR BEFORE 6-30-2010 ($30 ea person)
COST OF BANQUET/DANCE ON OR BEFORE 6-30-2010 ($35 ea person)
COST OF MEMORIAL BREAKFAST ON OR BEFORE 6-30-2010 ($10 ea person)
COST OF DANCE/RECEPTION ON OR BEFORE 6-30-2010 (Please Donate if you can, no one turned away)

VENDORS:

	ON OR BEFORE 7-15-2010 - $150, per 8' $75 per 4'	AFTER 7-15-2010 - $200 per 8' $75 per 4'
NUMBER OF TABLES
VENDOR TABLE OR DISPLAY

Special Requirements - If you have special dietetic needs in meals (diebetes, allergies, etc.), please list them here. Also, if you require help with a wheelchair, O2, or other medical issues please tell us in this block.

Lodging arrangements. Please indicate if you will be staying at the hotel, or if you have alternate arrangements. See hotel accomodations HERE

* Are you driving?

Yes

If driving, will you be able to carpool with others?

Yes

If driving, how many passengers can you carry and from where will you originate your trip (what city and state)?

Will you be flying? NOTE: It is best to reserve your airline tickets at least 5 weeks prior to the reunion to obtain the lowest rates. Use this block to share your airlines and itenerary and/or if you will be renting a vehicle upon arrival. Please indicate if you will be willing to share your rental car with others in getting around town and/or to and from the airport.

* Indicates Response Required