FAMILY REUNION CONFERENCE
REGISTRATION FORM
Name(s):
If for more than one person, please provide other name(s) and addresses for name tag and
subscriptions (Separate sheet is OK).
Address:
City:
State:
Home Phone:
Zip:
Bus. Phone:
E-mail:
Family Reunion Name:
Registration Fee
Number attending
Total
Full Conference
$195.00
$
Family (4+)
$145.00 each
$
Organization (4+) $145.00 each
$
Full time students $145.00 each
$
Friday only
$125.00
$
Saturday only
$125.00
$
Senior
$145.00
$
I will attend Sunday morning - Free
No more tickets for King TUT
Enclosed is my check of $
)
_____________
_______________
for
person(s)
Make check payable to Temple University
Charge the amount of $
Card Number
to: MasterCard
Visa
American Express
Exp. Date:
Signature (for charge card): _________________________________
I only want to attend
Scrapbooking ____ Quiltmaking ________ $35.00 each
Mail to:
The Family Reunion Institute
School of Social Administration
1301 Cecil B. Moore Ave.
Philadelphia, PA 19122