Western WFA Reunion Registration - 2003
Name(s) _____________________________________


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Address:_____________________________________


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Phone_______________________________________

Email________________________________________

Willard Line (e.g., Henry-2, James-6; Samuel-2, etc.):
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Reservation made with Holiday Inn Express?   Yes___    No___



Fees Enclosed  $_____________

Any questions? 
 



(Or Email me: BPex1@aol.com)

Make your check out to Betty Pex and send it with this completed form to: 


Mrs. Robert E. Pex, 

1828 Bayview Avenue, 

Belmont, CA 94002-1725