THE AVERY MEMORIAL ASSOCIATION
ANNUAL MEETING RESERVATION FORM
SATURDAY JULY 19, 2008

Name(s)_______________________________________________________

Address:______________________________________________________

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Guest(s):_____________________________________________________

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Children’s Names:_____________________________________________

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The Annual Meeting of the Avery Memorial Association will be held at the Mashantucket Pequot Museum, 110 Pequot Drive, Mashantucket, CT 06339 from 10:00 am to 4 pm.

REGISTRATION DEADLINE: June 15, 2008

The caterers will charge us late fees after that date.

Each adult registering between June 16 and June 30, 2008 must pay a $5 late fee.

Each adult registering July 1, 2008 or later must pay a $10 late fee.

Anyone registering "at the door" (why would you?) will NOT receive a registration package/"goodie bag."

(# of attendees)_______ Adults at $30 each..............................$ ______________

(# of attendees)_______ Children 5 yrs. and under..................$ ____FREE_____

(# of renewals) _______ Annual Dues at $25 each...................$ ______________

(For dues July 1, 2008 to June 30, 2009)..................................$ _______________

(# of people) _______ Life Membership at $500 each............$ _______________

Contribution ..............................................................................$ _______________

Late Fee (if any)........................................................................$ _______________

Total Enclosed...........................................................................$ _______________

Please make check payable to the “Avery Memorial Association,” and send to,
Betty T. Brustolon, PO Box 7245, Groton, CT 06340-7245

Is this your first time at the Annual Meeting? [__] Yes [__] No

I (we) will attend at the Cemetery on Sunday July 20, 2008. [__] Yes [__] No

I (we) will attend the church service at 10 a.m. and brunch afterwards. [__] Yes [__] No

Do you have E-Mail? Name: __________________ E-Mail Address: ______________________