| REGISTRATION PAGE Due to increasing costs of postage, we are sending invitations, where possible, to only one twin. Please contact your twin. We still need to make sure that we have the correct names and address for both twins. Please let the secretaries know of any name and address changes so that we can keep our records current. Also twins who have not maintained a membership in the association for at least one of the past 3 years will be removed from the mailing list after this year. PLEASE maintain your membership even if you can not attend the convention. Thanks! All information will be held in strict confidence. Meal reservations must be received by April 15th. _________________________________________________________ Please Print Twin #1 Name________________________________ Address _______________________________________ Phone __________________ E-Mail________________ Twin #2 Name________________________________ Address________________________________________ Phone___________________ E-Mail________________ Name of Parents or Guardians of twins under age 18 ______________________________________________ LUNCHEON COST (includes tax & tip) ____Adults (13 +) x $11.00 = _________________ ____Kids (5-12) x $8.00 = __________________ Children 4 and under are free! ANNUAL DUES PER TWIN _____Adults (13 +) x $7.00 = ________________ _____Kids (0 - 12) x $5.00 = _______________________ TOTAL ENCLOSED ______________________ Make checks or money orders payable to: Illinois State Twins Association Mail to: Michelle & Nichelle Bricker 711 West Jackson Sullivan, IL. 61951 |