REGISTRATION FORM

100th Birthday Celebration of NU Chapter of ΓΦΒ,
May 16-18, 2008
University of Oregon, Eugene

Website: http://www.nugammaphi100years.com 

FIRST NAME:
 MAIDEN NAME:
 LAST NAME:
 INITIATION YEAR: 
(This is on back of your pin.)
________________________________________________
 __________________ __________________ __________________
ADDRESS:
 CITY:
 STATE:
 ZIP:
________________________________________________ __________________ __________ __________________




PHONE:
 EMAIL:

________________________________________________ __________________

At this time, I am planning to stay in the area at:


________________________________________________


________________________________________________


I will be bringing the following guest(s): FIRST
LAST
________________________________________________ __________________
__________________
________________________________________________ __________________
__________________
I (We) plan to attend the events indicated below:






EVENT 
COST
 #
 TOTAL
Registration Fee (one per couple)
$ 25
 _______
 $ _________
No-Host Get Together  (No-Host Bar)
 N/C
 _______ $ 0
Area Winery Tour
 $ 30
_______ $ _________
Box Lunch (circle one)
 Ham
 Turkey
 Vegetarian
U of O Campus Tour
 N/C _______ $ 0
Reception (No-Host Bar)
N/C _______ $ 0
Pink Carnation Banquet
$ 40
 _______ $ _________
Dinner (circle one)
 Chicken Vegetarian




I want to order NU Chapter of Gamma Phi Beta Little House
 $ 24
 _______ $ _________
Postage ($6 for 1; $9 for 2; $12 for 3)
No postage charge, if we hold it for you to pick up)
$ ___
_______
$ _________






TOTAL DUE:
 $ _________
PAYMENT METHOD:   (Check One)



VISA/MC



__ __ __ __    __ __ __ __   __ __ __ __ __   __ __ __ __
EXP DATE:
__ __ / __ __





CHECK (Make checks payable to: NU House 100th Birthday)







OTHER __________________________________________



SEND YOUR PAYMENT WITH THIS FORM TO:
Patti Hallin Luse, 979 Ascot Drive, Eugene, OR 97401 or  FAX: 541-485-1072
Email: pattiluse@comcast.net

CONFIRMATION:  You will receive an email or letter of confirmation when your reservation has been received.
We will send additional information as needed. Thanks!

REGISTRATION DEADLINE: March 31, 2008