FESTIVAL FOR GERMANS FROM RUSSIA
MEDICINE HAT, ALBERTA SEPTEMBER 5,6,7,2003
| NAME:
.............................................................................. MAIDEN NAME (IF APPLICABLE) .............................................................................. ADDRESS: STREET................................................................. CITY:..................................................................... PROVINCE:.......................................................... POSTAL CODE:................................................... PHONE:................................................................ EMAIL:................................................................... NAME OF ANCESTRAL VILLAGE (S) RESEARCHING IN RUSSIA .............................................................................. .............................................................................. .............................................................................. REGION/COUNTRY .............................................................................. |
NAME:
.............................................................................. MAIDEN NAME (IF APPLICABLE) .............................................................................. ADDRESS: STREET................................................................. CITY:..................................................................... PROVINCE:.......................................................... POSTAL CODE:................................................... PHONE:................................................................ EMAIL:................................................................... NAME OF ANCESTRAL VILLAGE (S) RESEARCHING IN RUSSIA .............................................................................. .............................................................................. .............................................................................. REGION/COUNTRY .............................................................................. |
TYPE OF REGISTRATION;
NUMBER ATTENDING
.......................................@ $50 ALL INCLUSIVE ($60 AFTER August 15)
.......................................@ $25 BANQUET ONLY (SATURDAY NIGHT)
.......................................TOTAL
PLEASE MAKE CHEQUE PAYABLE TO:
FESTIVAL FOR GERMANS FROM RUSSIA
C/O TERESA P ARASYNCHUK
145 MARKWICK DR. SE
MEDICINE HAT, ALBERTA T1A 7V9