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`___RAD litaactrAL.uacus-COLOR s • <br /> AL <br /> OFFICIALS O ERA• ON r�t • <br /> May " <br /> Kaystose Lod. 41100 Wadsworth SM. . <br /> 1 w12, 1975 Reim to Colorado itualcipel L41.10 _- <br /> Coloado Smile 1 :It 1 - <br /> Rid.,Co 10033 <br /> None <br /> Title <br /> aherCiltglarkin/ ► <br /> Address <br /> Qty State ZIP <br /> Spouse attending YcsD No 0 Name <br /> Do you wish to receive mite. credit foe parddpation in this seminar Yes D No 0 <br /> REc13T1tATION FEU PORpiL U$E ctiLy <br /> PAID DATE AMOUNT SILL <br /> $1S.00 resistratJ ' a a <br /> i dudes Thursday sad Friday lack) <br /> Additional mast tickets <br /> NO. <br /> Thursday lunch • S6.00 • :-" <br /> Friday lunch - s6.00 0 r''y�• <br /> M.aPVIskIlk•Phs.. 1.41•1011011141~0. <br /> • •. <br /> K' <br /> CI Total payment metaled <br /> • <br /> • <br /> NOTE: R fi tration and meal ticket payments will be refunded If the Wipe receiver notice of <br /> camellia,* prior to Apcil 21. <br /> • <br /> _�•..y., '�v'rt- v r w�.;.7ai '1��,ni'T,• �f' •��`�•'1±, •�•.h ~� <br />