Pan-Pontian Youth Awareness Convention 2014 Pre Registration Form
First and Last name *
One person registration
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Affilated Syllogo Name & City *
example: Pontian Greek Society of Chicago
Your answer
Family/Group Registration:
NOTE: List FIRST and LAST NAME and AGES for each member
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Address *
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Phone Number *
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Age *
This will help us determine our workshop activities
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I will participate in the following activities
Please select all that apply
Submit form to OR send this COMPLETED form to Pontian Greek Society of Chicago ATTENTION: YOUTH AWARENESS CONVENTION PO BOX 6127 Bloomingdale, IL 60108
Make checks payable to: Pontian Greek Society of Chicago
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