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Please
send form and payment to:
Gregath Co., PO BOX 505, Wyandotte, OK 74370.
Name:
___________________________________________________________________________
Address:
_________________________________________________________________________
Phone
Number:_______________________________ 
Email:
________________________________
1 Genealogical/Historical OR Lineal
Organization (for nametag):
________________________________
Preferred
Roommates (optional):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Person who referred me to this retreat (optional):
_____________________________________________________________________________________________
______
I am handicapped and have cleared arrangements with
_________________________
(for reservation purposes only)
____ Standard Full Retreat Package
@ $175.00 each = $______________
Until
October 1, 2011 - as available
____ Day Tripper Session @ $20.00 each = $______________
Sessions:
___________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Until
October 1, 2011 - as available
Canceled reservations are eligible for a small portion
refund.
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NO
SHIPPING OR HANDLING FEES NEEDED
Page Last Updated:
April 13, 2012
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