2015 年全美台灣同會鄉芝加哥分會春節晚會 Registration Form

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Registration form for the 芝加哥台灣鄉親春節晚會.

1.Please make check payable to: TAAGCC。
2.Due Date 2/10/2015。
3.Treasurer : Chimou Ni
402 Walcott
Batavia, IL 60510
4.If you need to edit/cancel your reservation, please e-mail us
at taagcc.webmaster@gmail.com by 2/10/2015.
After 2/10/2015 we will not accept any changes, and you will be held responsible for the payment.

Member Information

2015 同鄉會會費 *

同鄉會會費: $25/family, $15/single

姓名 (Name) - Primary Registrant *

Please enter first and last name of primary registrant.

Others in Your Party

Please list the first and last name(s) of the other individuals in your party.

Would you like to be seated at the same table? *

Note: 10 is the max. per table

Yes

Other:

Meal Type

晚會餐費: Regular $35/meal, Students $20/meal, Kids $15/meal. If none specified, you will receive 牛 by default.

# of 雞

# of 牛

# of 魚

# of 素

# of Kids

Payment

Payment Type *

Check (mailed to treasurer)

Cash

Pay at the party

Other:

Required

小計 $ *

Please add up your total.

Please provide your e-mail and/or phone # for sending a confirmation *

Submit

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